Individual
MATTHEW WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
855 S 8TH ST, HARRISBURG, OR 97446-9588
(541) 556-7170
Mailing address
855 S 8TH ST, HARRISBURG, OR 97446-9588
(541) 556-7170
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201330118LPN
OR
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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