Individual
MRS. MANDY MELISSA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
265 N BROADWAY, PORTLAND, OR 97227-1800
(503) 280-1223
(503) 528-5252
Mailing address
1498 SE TECH CENTER PL STE 240, VANCOUVER, WA 98683-5508
(360) 597-1309
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA01310
OR
Other
Enumeration date
11/29/2007
Last updated
09/18/2018
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