Williams, Joel Benjamin
Williams, Joel Benjamin is an individual health care provider with primary practice located at 4004 Kruse Way Pl Ste 300 , Lake Oswego OR 97035. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Williams, Joel Benjamin can be contacted via phone (503) 216-1500.Contact Information
Primary practice address
4004 Kruse Way Pl Ste 300
Lake Oswego OR 97035
Phone: (503) 216-1500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 3442 | Oregon |
Profile Details
| NPI number | 1932174927 |
|---|---|
| LBN Legal business name | Williams, Joel Benjamin |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Apr 16th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932174927 | NPPES |
| Oregon | MEDICAID | 159029 |
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