Individual
JODEE LENAE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 NW 11TH ST STE M103, HERMISTON, OR 97838-6941
(541) 667-3830
(541) 667-3831
Mailing address
620 NW 11TH ST STE M201, HERMISTON, OR 97838-6941
(541) 289-4118
(541) 667-3484
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
201901588NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
201901588NP-PP
OR
Other
Enumeration date
04/02/2019
Last updated
03/31/2021
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