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Individual

LARA JEANNETTE WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
501 N GRAHAM ST STE 550, PORTLAND, OR 97227-2010
(503) 284-5220
(503) 284-4971
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD25288
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1060240
WA
05
233156
OR
Enumeration date
07/10/2006
Last updated
12/05/2025
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