Provider Demographics
NPI:1467465823
Name:WILLIAMSON, MERLE DEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MERLE
Middle Name:DEAN
Last Name:WILLIAMSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:11167 SE VALLEY VIEW TER
Mailing Address - Street 2:
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97086-9715
Mailing Address - Country:US
Mailing Address - Phone:503-880-4852
Mailing Address - Fax:503-698-5268
Practice Address - Street 1:11167 SE VALLEY VIEW TER
Practice Address - Street 2:
Practice Address - City:HAPPY VALLEY
Practice Address - State:OR
Practice Address - Zip Code:97086-9715
Practice Address - Country:US
Practice Address - Phone:503-880-4852
Practice Address - Fax:503-698-5268
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD14580207LA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LA0401XAllopathic & Osteopathic PhysiciansAnesthesiologyAddiction Medicine