Individual
SHAWNESE TAREE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1500 NE IRVING ST., PORTLAND, OR 97232
(503) 258-4200
Mailing address
1331 SE 93RD AVE., PORTLAND, OR 97216-2103
(503) 493-0299
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/15/2010
Last updated
10/19/2010
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