Individual
TIMOTHY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1818 NE MLK BLVD STE C, PORTLAND, OR 97212-3976
(503) 206-8988
Mailing address
16977 NE HALSEY ST # D117, PORTLAND, OR 97230-6183
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6126
OR
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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