Individual
DR. JILL ANNETTE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 251-5165
(425) 656-4028
Mailing address
PO BOX 34876, SEATTLE, WA 98124-1876
(425) 251-5165
(425) 656-4028
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD00041527
WA
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
MD00041527
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
339491
L&I
WA
01
—
4659WI
BLUE SHIELD # VM
WA
05
—
8369886
—
WA
01
—
US5533762
AETNA SPECIALIST PIN VM
WA
Enumeration date
04/17/2007
Last updated
07/24/2017
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