Provider Demographics
NPI:1134410145
Name:WILLIAM S. STRAUSS MD., PC
Entity type:Organization
Organization Name:WILLIAM S. STRAUSS MD., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:STRAUSS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-585-0830
Mailing Address - Street 1:P.O. BOX 5236
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97304
Mailing Address - Country:US
Mailing Address - Phone:503-585-0830
Mailing Address - Fax:503-585-4523
Practice Address - Street 1:2525 12TH ST SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-2281
Practice Address - Country:US
Practice Address - Phone:503-585-0830
Practice Address - Fax:503-585-4523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-25
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR116673Medicaid
OR0000BHVXLMedicare PIN
ORC91919Medicare UPIN
C91919Medicare UPIN