Provider Demographics
NPI:1841482023
Name:WILLIAMS, MARCE ALENE (PHYSICAL THERAPIST A)
Entity type:Individual
Prefix:MS
First Name:MARCE
Middle Name:ALENE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST A
Other - Prefix:MRS
Other - First Name:MARCE
Other - Middle Name:ALENE
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICAL THERAPIST A
Mailing Address - Street 1:4554 FUHRER ST NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97305
Mailing Address - Country:US
Mailing Address - Phone:503-851-3630
Mailing Address - Fax:
Practice Address - Street 1:800 10TH ST
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-2131
Practice Address - Country:US
Practice Address - Phone:360-568-3161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR7639225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant