Individual
DR. MATTHEU OWEN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2607 BRIDGEPORT WAY W STE 1D, UNIVERSITY PLACE, WA 98466-4725
(253) 566-2225
Mailing address
2607 BRIDGEPORT WAY W STE 1D, UNIVERSITY PLACE, WA 98466-4725
(253) 566-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003505
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117001
LABOR AND INDUSTRIES
WA
01
—
41-2160221
TAX ID
WA
01
—
WI4950
REGENCE
WA
Enumeration date
04/18/2007
Last updated
06/24/2015
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