Individual
MATTHEW JOHN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8931 SE FOSTER RD, PORTLAND, OR 97266-4661
(855) 433-6825
Mailing address
6590 NE CAMPUS WAY, HILLSBORO, OR 97124
(855) 433-6825
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1364
AK
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D11405
OR
Other
Enumeration date
11/04/2010
Last updated
04/02/2021
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