Provider Demographics
NPI:1841532157
Name:WILLIAMS, ESTELL (MD)
Entity type:Individual
Prefix:
First Name:ESTELL
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1503B E UNION ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-4198
Mailing Address - Country:US
Mailing Address - Phone:510-701-1437
Mailing Address - Fax:
Practice Address - Street 1:815 MERCER ST
Practice Address - Street 2:BOX 358047
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-4714
Practice Address - Country:US
Practice Address - Phone:206-897-1327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-25
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAML60370436208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery