Individual
BETH EISLER WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8562
(503) 418-5505
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8562
(503) 418-5505
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
201405334NP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
Primary
201405334NP-PP
OR
Other
Enumeration date
08/07/2014
Last updated
08/22/2022
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