Individual
JAY K WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
188 NW 207TH AVE, BEAVERTON, OR 97006-1796
(303) 829-2190
Mailing address
188 NW 207TH AVE, BEAVERTON, OR 97006-1796
(303) 829-2190
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26326
OR
Other
Enumeration date
04/24/2021
Last updated
04/24/2021
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