Individual
VERN R WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 N MORRIS ST, PORTLAND, OR 97227-1541
(503) 230-9875
(503) 230-9877
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
(503) 621-2235
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
MD-17867
HI
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
MD14502
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134254
—
OR
05
—
2107839
—
WA
Enumeration date
10/24/2005
Last updated
04/14/2021
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