Provider Demographics
NPI:1194076364
Name:WILLIAMS, GREETJE MARGARETHA (RN)
Entity type:Individual
Prefix:MRS
First Name:GREETJE
Middle Name:MARGARETHA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10650 HIGHWAY 101 S
Mailing Address - Street 2:
Mailing Address - City:TILLAMOOK
Mailing Address - State:OR
Mailing Address - Zip Code:97141-8644
Mailing Address - Country:US
Mailing Address - Phone:503-815-1735
Mailing Address - Fax:
Practice Address - Street 1:10650 HIGHWAY 101 S
Practice Address - Street 2:
Practice Address - City:TILLAMOOK
Practice Address - State:OR
Practice Address - Zip Code:97141-8644
Practice Address - Country:US
Practice Address - Phone:503-815-1735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR09700321RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR09700321RNOtherRN