Provider Demographics
NPI:1891866786
Name:MCCORD, WILLIAM CLAY JR (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CLAY
Last Name:MCCORD
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2581 UHRMANN ROAD
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97601-1101
Mailing Address - Country:US
Mailing Address - Phone:541-274-4643
Mailing Address - Fax:541-274-4649
Practice Address - Street 1:2631 CROSBY AVE
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97603-0000
Practice Address - Country:US
Practice Address - Phone:541-880-2750
Practice Address - Fax:541-880-2759
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2021-06-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD61067555207RR0500X, 207R00000X
CAG22997207RR0500X
ORMD126090207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500612879Medicaid
ORR148964Medicare PIN