MEDICARE: DR. WILLIAM CELY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	12611	OR
2	207V00000X	Obstetrics & Gynecology Physician	MD00029864	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538162615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM CELY M.D.

Provider Business Mailing Address
First Line	:	775 SW 9TH ST
Second Line	:	SUITE H
City	:	NEWPORT
State	:	OR
Zip	:	97365-4895
Country	:	US
Telephone Number	:	541-265-3955
Fax Number	:	541-574-4747

Provider Business Practice Location Address
First Line	:	505 NE 87TH AVE STE 160
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98664-1965
Country	:	US
Telephone Number	:	360-514-1060
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	07/21/2022

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Directions to “ DR. WILLIAM CELY M.D.” Practice Location

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