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Individual

MRS. TINA JOANNE WILLIAMSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
832 ELM ST, SUITE 101, ALBANY, OR 97321
(541) 812-5820
(541) 812-5821
Mailing address
PO BOX 1188, CORVALLIS, OR 97339-1188

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
200241926RN
OR
363LF0000X
Family Nurse Practitioner
Primary
202111413NP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202111413NP-PP
NURSE PRACTITIONER LICENSURE - OSBN
OR
Enumeration date
11/05/2007
Last updated
11/17/2021
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