Williams, Kristi Ann
Williams, Kristi Ann is an individual health care provider with primary practice located at 10373 Ne Hancock St , Portland OR 97220-3873. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Williams, Kristi Ann can be contacted via phone (503) 261-6179.Contact Information
Primary practice address
10373 Ne Hancock St
Portland OR 97220-3873
Phone: (503) 261-6179
Fax: (503) 253-8020
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Community Health | 163WC1500X | 082012779N6 | Oregon |
Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 082012779N6 | Oregon |
Physician Assistants & Advanced Practice Nursing Providers / Community Health | 363LC1500X | 082012779N6 | Oregon |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 082012779N6 | Oregon |
Profile Details
NPI number | 1003970583 |
---|---|
LBN Legal business name | Williams, Kristi Ann |
Credentials | PMHNP, RN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 20th, 2006 |
Last updated | Apr 17th, 2008 - about 16 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 | 1003970583 | NPPES |
Oregon | MEDICAID | 069096 |
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