Individual
MORIO C MCWILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
4805 NE GLISAN ST, SUITE 6N50, PORTLAND, OR 97213-2933
(503) 215-2300
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2706
WI
363A00000X
Physician Assistant
Primary
PA158499
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500648656
—
OR
Enumeration date
01/21/2011
Last updated
10/15/2012
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