Healthcare Provider Details

I. General information

NPI: 1174431084
Provider Name (Legal Business Name): DR. DEBORAH WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 SW 4TH AVE UNIT 3J
PORTLAND OR
97204-2345
US

IV. Provider business mailing address

310 SW 4TH AVE UNIT 3J
PORTLAND OR
97204-2345
US

V. Phone/Fax

Practice location:
  • Phone: 971-306-9305
  • Fax:
Mailing address:
  • Phone: 602-525-7859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number315167
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number10061693
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: