LARRY C WILLIAMS

PORTLAND, OR
NPI1417479833
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  16-P-07)
Enumeration Date2017-07-07
Last Update Date2017-07-07
Business Address
LARRY C WILLIAMS CADCI
1949 SE 122ND AVE
PORTLAND, OR 97233-1303
Phone number: 503-253-5954
Mailing Address
LARRY C WILLIAMS CADCI
232 NW 6TH AVE ATTN: BBIS CREDENTIALING
PORTLAND, OR 97209-3609
Phone number: 503-501-5641
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