Williams, Roderick Jerome

Williams, Roderick Jerome is an individual health care provider with primary practice located at 600 Broadway St , Longview WA 98632-3256. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Williams, Roderick Jerome can be contacted via phone (360) 414-2236.

Contact Information

Primary practice address
600 Broadway St Longview WA 98632-3256
Phone: (360) 414-2236
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R44293 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP60853251 Washington

Profile Details

NPI number 1861917882
LBN Legal business name Williams, Roderick Jerome
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2017
Last updated Oct 20th, 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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