Individual
MR. MICHAEL ANTHONY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT, QMHA
Contact information
Practice address
341 E 12TH AVE, EUGENE, OR 97401-3212
(541) 342-8255
Mailing address
791 WALNUT AVE, EUGENE, OR 97404-3175
(760) 927-7269
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500650666
—
OR
Enumeration date
03/07/2023
Last updated
03/07/2023
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