Williams, Tracy S
Williams, Tracy S is an individual health care provider with primary practice located at 530 Nw 27Th St , Corvallis OR 97330-5223. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Williams, Tracy S can be contacted via phone (541) 766-6835.Contact Information
Primary practice address
530 Nw 27Th St
Corvallis OR 97330-5223
Phone: (541) 766-6835
Fax: (541) 766-6186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1083771307 |
|---|---|
| LBN Legal business name | Williams, Tracy S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1083771307 | NPPES |
| Oregon | Other | 503026 | MAC |
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