Individual
DR. JOHN BRUCE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2435 NE CUMULUS AVE STE A, MCMINNVILLE, OR 97128-8805
(503) 472-6161
(503) 434-6290
Mailing address
2435 NE CUMULUS AVE STE A, MCMINNVILLE, OR 97128-8805
(503) 472-6161
(503) 434-6290
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD 26409
WA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
WA 00026409
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1075928
—
OR
05
—
1075928
—
WA
Enumeration date
04/25/2006
Last updated
05/25/2021
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