Individual
MS. SHERYL JANINE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5050 NE HOYT ST, SUITE 454, PORTLAND, OR 97213-2991
(503) 254-6405
(503) 215-6429
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00743
OR
363AM0700X
Medical Physician Assistant
PA10005231
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500642065
—
OR
05
—
8488538
—
WA
01
—
P01178825
RR MEDICARE - PHS
OR
Enumeration date
11/02/2005
Last updated
03/25/2016
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