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NPI Code Detail

MEDICARE: DR. DIANE H WILLIAMS DO

MEDICARE: DR. DIANE H WILLIAMS DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology PhysicianDO15375OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619973351
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANE H WILLIAMS DO
Provider Business Mailing Address
First Line : 541 NE 20TH AVE STE 225
Second Line :
City : PORTLAND
State : OR
Zip : 97232-2895
Country : US
Telephone Number : 503-963-2801
Fax Number : 503-963-2825
Provider Business Practice Location Address
First Line : 9701 SW BARNES RD
Second Line : SUITE 300
City : PORTLAND
State : OR
Zip : 97225-6772
Country : US
Telephone Number : 503-297-8081
Fax Number : 503-292-6601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 11/28/2023

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Directions to “ DR. DIANE H WILLIAMS DO” Practice Location

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