Individual
MS. MAKEESHA MICHELLE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5009 NE KILLINGSWORTH ST, PORTLAND, OR 97218-1915
(503) 402-8117
Mailing address
5773 NE CLEVELAND AVE, PORTLAND, OR 97211-2505
(503) 285-5953
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
OR
Other
Enumeration date
02/02/2007
Last updated
01/28/2008
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