Williams, John Bruce

Williams, John Bruce is an sole proprietor health care provider with primary practice located at 2435 Ne Cumulus Ave Ste A , Mcminnville OR 97128-8805. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Williams, John Bruce can be contacted via phone (503) 472-6161.

Contact Information

Primary practice address
2435 Ne Cumulus Ave Ste A Mcminnville OR 97128-8805
Phone: (503) 472-6161
Fax: (503) 434-6290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD 26409 Washington
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X WA 00026409 Washington

Profile Details

NPI number 1619933934
LBN Legal business name Williams, John Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2006
Last updated May 25th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619933934 NPPES
Washington MEDICAID 1075928
Washington MEDICAID 1075928

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