Williams, Josephine M

Williams, Josephine M is an individual health care provider with primary practice located at 2801 N Gantenbein Ave , Portland OR 97227-1623. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Williams, Josephine M can be contacted via phone (503) 413-8407.

Contact Information

Primary practice address
2801 N Gantenbein Ave Portland OR 97227-1623
Phone: (503) 413-8407
Fax: (503) 413-6951
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 33149 Colorado
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD187248 Oregon

Profile Details

NPI number 1407819139
LBN Legal business name Williams, Josephine M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Jun 4th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407819139 NPPES
Colorado MEDICAID 01331495

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