Individual
JONATHAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 NE KENNETH FORD DR, ROSEBURG, OR 97470-1042
(541) 672-9596
Mailing address
24920 MOUND ST, LOMA LINDA, CA 92350-0202
(541) 441-3705
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PG220347
OR
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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