Individual
TAMARA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 NW 6TH AVE FL 1, PORTLAND, OR 97209-3964
(503) 988-3663
Mailing address
PO BOX 18129, PORTLAND, OR 97218-0129
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0003423
OR
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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