Williams, Sheryl Janine
Williams, Sheryl Janine is an individual health care provider with primary practice located at 5050 Ne Hoyt St Suite 454, Portland OR 97213-2991. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Williams, Sheryl Janine can be contacted via phone (503) 254-6405.Contact Information
Primary practice address
5050 Ne Hoyt St Suite 454
Portland OR 97213-2991
Phone: (503) 254-6405
Fax: (503) 215-6429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA00743 | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA10005231 | Washington |
Profile Details
| NPI number | 1619968187 |
|---|---|
| LBN Legal business name | Williams, Sheryl Janine |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Mar 25th, 2016 - about 9 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 | 1619968187 | NPPES |
| Oregon | Other | P01178825 | RR MEDICARE - PHS |
| Oregon | MEDICAID | 500642065 | RR MEDICARE - PHS |
| Oregon | MEDICAID | 8488538 | RR MEDICARE - PHS |
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