NPI 1023179702
William Michael Roberts, CPO
Practice location
- Address
- 4660 Portland Rd NE Suite 107, Salem, OR 97305-1684
- Phone
- (503) 390-6992
- Fax
- (503) 390-6992
Registered specialties
Prosthetic/Orthotic Supplier
Primary
Registry record
- NPI
- 1023179702
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Dec 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.