Williams, Vern R

Williams, Vern R is an individual health care provider with primary practice located at 15 N Morris St , Portland OR 97227-1541. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Williams, Vern R can be contacted via phone (503) 230-9875.

Contact Information

Primary practice address
15 N Morris St Portland OR 97227-1541
Phone: (503) 230-9875
Fax: (503) 230-9877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X MD14502 Oregon
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X MD-17867 Hawaii

Profile Details

NPI number 1619967577
LBN Legal business name Williams, Vern R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Apr 14th, 2021 - about 3 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 1619967577 NPPES
Washington MEDICAID 2107839
Washington MEDICAID 134254

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