Individual
JOEL BENJAMIN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4004 KRUSE WAY PL STE 300, LAKE OSWEGO, OR 97035
(503) 216-1500
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3442
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159029
—
OR
Enumeration date
02/22/2006
Last updated
04/16/2019
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