Individual
SALISA K WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
PO BOX 10103, PORTLAND, OR 97296-0103
(503) 704-2727
Mailing address
PO BOX 10103, PORTLAND, OR 97296-0103
(503) 704-2727
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3116ATI
OR
152W00000X
Optometrist
Primary
OD00004059
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2032092
—
WA
01
—
G8882481
MEDICARE WA
WA
01
—
G8883203
MEDICARE WA
WA
01
—
G8893963
MEDICARE WA
—
01
—
G8925843
MEDICARE WA
WA
01
—
P00378195
RAIL ROAD MEDICARE
WA
Enumeration date
05/23/2006
Last updated
06/08/2026
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