Individual
MR. ALAN CHARLES WILLIAMS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
W 412 BOONE, SPOKANE, WA 99201
(509) 326-6401
(509) 325-5986
Mailing address
1202 E BLUE HERON CT, SPOKANE, WA 99208
(509) 701-3319
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
PS00000120
WA
224P00000X
Prosthetist
PS00000119
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8418717
PIN MEDICAID
WA
05
—
9011495
—
WA
01
—
CO002920
ABC NUMBER
—
Enumeration date
06/07/2006
Last updated
09/11/2025
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