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Individual

WILLIAM JOHN MAYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
QMHA

Contact information

Practice address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-9581
Mailing address
14255 SW BRIGADOON CT STE 80, BEAVERTON, OR 97005-3368
(503) 641-1475

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
376K00000X
Nurse's Aide

Other

Enumeration date
02/01/2007
Last updated
11/18/2011
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