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Individual

CHARLES E WILLIAMSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
2119 NE HALSEY ST, PORTLAND, OR 97232-1522
(503) 975-9398
(503) 221-8320
Mailing address
2119 NE HALSEY ST, PORTLAND, OR 97232-1522
(503) 975-9398
(503) 221-8320

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
202114724NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202114724NP-PP
OR

Other

Enumeration date
08/02/2008
Last updated
10/01/2025
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