Individual
EDMOND DESHAWN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, QMHP
Contact information
Practice address
421 SW OAK ST, SUITE 520, PORTLAND, OR 97204-1817
(503) 312-2116
Mailing address
PO BOX 16932, PORTLAND, OR 97292-0932
(503) 334-9955
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/19/2006
Last updated
05/07/2014
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