Individual
KATELYN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
610 HAWTHORNE AVE SE STE 110, SALEM, OR 97301-5378
(503) 814-4440
(503) 814-4444
Mailing address
610 HAWTHORNE AVE SE STE 110, SALEM, OR 97301-5378
(503) 814-4440
(503) 814-4444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200941744RN
OR
363LF0000X
Family Nurse Practitioner
Primary
202000576NP-PP
OR
Other
Enumeration date
12/12/2019
Last updated
01/29/2020
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