JOHN DALTON WILLIAMS II (NPI# 1255991337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255991337 |
Entity Type | Individual |
Full Name | JOHN DALTON WILLIAMS II |
Credential | NCAC I, CADC I |
Practice Address |
1316 Se 12th Ave Portland OR 97214-3604 |
Practice Telephone | 6192492671 |
Mailing Telephone | 6192492671 |
Enumeration Date | 2019-06-19 |
Last Update Date | 2019-06-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
18-12-06 | OR | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861091449 | John Williams | Home Health Aide | 2852 23rd Pl Se Apt 304, Washington, DC 20020-7961 | 2020-10-23 |
1073130704 | John Warren Williams | Counselor | 1801 Abercorn St, Savannah, GA 31401-8121 | 2020-06-29 |
1831711613 | John Lee Williams Jr. | Peer Specialist | 24400 Schoolcraft, Redford, MI 48239-2633 | 2020-05-14 |
1366009169 | John Powell Williams Iv | Physician Assistant | 501 19th St Ste 503, Knoxville, TN 37916-1874 | 2019-05-28 |
1942797477 | John Matthew Williams | Student in an Organized Health Care Education/Training Program | 152 Edmonds Way, Clarksville, TN 37043-7422 | 2018-04-19 |
1427555424 | John R Williams | Counselor | 338 3rd St Apt 2, Clifton, NJ 07011-3253 | 2018-04-07 |
1750756748 | John Williams | Counselor | 200 Lakeview Dr Apt 2807, Natchitoches, LA 71457-5572 | 2015-12-02 |
1336536200 | John Ross Williams | Student in an Organized Health Care Education/Training Program | 325 9th Ave Dept Of, Box 359924, Seattle, WA 98104-2420 | 2015-04-18 |
1285033621 | John David Williams | Dentist | 5305 W Village Pkwy Ste 12, Rogers, AR 72758-8116 | 2014-08-21 |
1982003554 | John Hyde Williams | Family Medicine | 502 Glen Arbor Ln, Grosse Pointe Woods, MI 48236-1506 | 2014-08-19 |
Street Address |
1316 SE 12TH AVE |
City | PORTLAND |
State | OR |
Zip Code | 97214-3604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154785475 | Blvd Centers, Inc | Substance Abuse Rehabilitation Facility | 1316 Se 12th Ave, Portland, OR 97214-3604 | 2016-04-12 |
1013528603 | Joseph K Chow | Counselor | 1316 Se 12th Ave, Portland, OR 97214-3604 | 2020-08-16 |
1619519576 | Erika Lynn Budd | Counselor | 1316 Se 12th Ave, Portland, OR 97214-3604 | 2019-10-11 |
1912482092 | Anthony W Velasquez Jr. | Counselor | 1316 Se 12th Ave, Portland, OR 97214-3604 | 2018-09-25 |
1619493681 | Molly Jo Clouteir | Peer Specialist | 1316 Se 12th Ave, Portland, OR 97214-3604 | 2017-08-21 |
1366985707 | Gerald Todd Flynn | Counselor | 1316 Se 12th Ave, Portland, OR 97214-3604 | 2016-12-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
1336772243 | Alexandra Mcbryde | Acupuncturist | 959 Se Division St, #315, Portland, OR 97214 | 2020-02-19 |
1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
1639616436 | Erin Elizabeth Weaver | Acupuncturist | 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 | 2017-01-31 |
1780126045 | Katherine Aravamudan, Lpc, LLC | Community/Behavioral Health | 1312 E. Burnside Street, Portland, OR 97214 | 2016-11-17 |
1003358441 | Michelle Jean Meadows | Massage Therapist | 2804 Se Lincoln St, Portland, OR 97214 | 2016-11-16 |
1629429311 | Stephanie Tolentino | Counselor | 605 Se Cesar E Chavez Blvd., Portland, OR 97214 | 2016-06-24 |
1790141166 | Marian Iris Dixon | Massage Therapist | 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 | 2016-01-14 |
1194194589 | Lutheran Community Services Northwest | Community/Behavioral Health | 605 Se Cesar E Chavez Bld, Portland, OR 97214 | 2015-09-16 |
1497123566 | Michele R. Stokes | Specialist | 2311 East Burnside B1, Portland, OR 97214 | 2015-09-08 |
Find all providers in zip 97214 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477163657 | Kevin Charles Reiser | Counselor | 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 | 2020-08-03 |
1881203628 | Beau Curtiss | Counselor | 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 | 2020-07-28 |
1851916886 | Jonathan Cross | Counselor | 49 Montrose Ave Apt 3, Portland, ME 04103-2442 | 2020-06-16 |
1639703960 | Elizabeth Ann Anderson | Counselor | 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 | 2020-02-25 |
1194356618 | Deforrest Kwesi Jackson | Counselor | 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 | 2020-02-03 |
1760012942 | Jesse Decker | Counselor | 7015 N Boston Ave, Portland, OR 97217-5711 | 2020-01-16 |
1740829076 | Ryan Christianson | Counselor | 2707 Ne Flanders St, Portland, OR 97232-3159 | 2020-01-03 |
1083264477 | Kayla Rose Paris | Counselor | 420 Cumberland Ave, Portland, ME 04101-2823 | 2019-09-17 |
1275193260 | Anna Khval | Counselor | 1500 Se 122nd Ave, Portland, OR 97233-1207 | 2019-06-20 |
1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
Find all providers in PORTLAND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.