Individual
CHARLES THOMAS WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
8040 E MILL PLAIN BLVD, VANCOUVER, WA 98664-2002
(360) 882-2778
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 882-2778
(360) 604-1757
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60858259
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2105623
—
WA
Enumeration date
08/07/2018
Last updated
10/14/2020
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