Individual
SALISA K WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2205 NE 129TH ST, VANCOUVER, WA 98686-3252
(360) 694-2544
(360) 694-1356
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(360) 242-3008
(360) 807-7687
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
12/11/2020
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