Individual
MRS. KRISTI ANN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP, RN
Contact information
Practice address
10373 NE HANCOCK ST, PORTLAND, OR 97220-3873
(503) 261-6179
(503) 253-8020
Mailing address
10373 NE HANCOCK ST, PORTLAND, OR 97220-3873
(503) 261-6179
(503) 253-8020
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
082012779N6
OR
163WP0808X
Psychiatric/Mental Health Registered Nurse
082012779N6
OR
363LC1500X
Community Health Nurse Practitioner
082012779N6
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
082012779N6
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069096
—
OR
Enumeration date
12/20/2006
Last updated
04/17/2008
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