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Individual

ROBERT WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
930 SW ABBEY ST, NEWPORT, OR 97365-4820
(541) 265-2244
(541) 574-1838
Mailing address
PO BOX 2847, CORVALLIS, OR 97339-2847

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
21040878RN
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
201360005CRNA
OR

Other

Enumeration date
08/11/2011
Last updated
11/02/2020
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