Individual
JAMIE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25050 SE STARK ST STE 300, GRESHAM, OR 97030-3388
(035) 667-8878
(503) 667-0310
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OR
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L7778
OR
Other
Enumeration date
04/01/2010
Last updated
11/04/2020
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