Provider Demographics
NPI:1629307384
Name:PLAZAS, WILLIAM (QHMA)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:PLAZAS
Suffix:
Gender:M
Credentials:QHMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:681 CENTER ST NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-3722
Mailing Address - Country:US
Mailing Address - Phone:503-588-5828
Mailing Address - Fax:
Practice Address - Street 1:681 CENTER ST NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3722
Practice Address - Country:US
Practice Address - Phone:503-588-5828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-09
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator