Williams, Kristi Ann

Williams, Kristi Ann is an individual health care provider with primary practice located at 10373 Ne Hancock St , Portland OR 97220-3873. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Williams, Kristi Ann can be contacted via phone (503) 261-6179.

Contact Information

Primary practice address
10373 Ne Hancock St Portland OR 97220-3873
Phone: (503) 261-6179
Fax: (503) 253-8020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 082012779N6 Oregon
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 082012779N6 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X 082012779N6 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 082012779N6 Oregon

Profile Details

NPI number 1003970583
LBN Legal business name Williams, Kristi Ann
Credentials PMHNP, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Apr 17th, 2008 - about 18 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 1003970583 NPPES
Oregon MEDICAID 069096

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