LARA JEANNETTE WILLIAMS (NPI# 1306870787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306870787 |
| Entity Type | Individual |
| Full Name | LARA JEANNETTE WILLIAMS |
| Credential | M.D. |
| Practice Address |
501 N Graham St Ste 550 Portland OR 97227-2010 |
| Mailing Address |
847 Ne 19th Ave Suite 300 Portland OR 97232-2684 |
| Practice Telephone | 5032845220 |
| Practice Fax Number | 5032844971 |
| Mailing Telephone | 5039632801 |
| Mailing Fax Number | 5039632825 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2017-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD25288 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 233156 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475920 | Lara Ann Williams | Registered Nurse | 450 E Romie Ln, Salinas, CA 93901-4029 | 2020-10-19 |
| Street Address |
501 N GRAHAM ST STE 550 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255368585 | Philippa Johanna Antoinette Ribbink | Obstetrics & Gynecology | 501 N Graham St Ste 550, Portland, OR 97227-2010 | 2006-06-26 |
| 1992270847 | Katherine Lane Stiles | Naturopath | 501 N Graham St Ste 550, Portland, OR 97227-2010 | 2018-10-08 |
| 1194251637 | Natalie Ann Mohler | Nurse Practitioner | 501 N Graham St Ste 550, Portland, OR 97227-2010 | 2017-05-03 |
| 1093193864 | Erika Gene Copperman | Obstetrics & Gynecology | 501 N Graham St Ste 550, Portland, OR 97227-2010 | 2015-05-13 |
| 1437492279 | Bethany Michaela Ambrosi | Obstetrics & Gynecology | 501 N Graham St Ste 550, Portland, OR 97227-2010 | 2013-03-30 |
| 1396083242 | Erica Lynn Simonich | Nurse Practitioner | 501 N Graham St Ste 550, Portland, OR 97227-2010 | 2013-01-28 |
| 1942562723 | Lindsey Nicole Waugh | Obstetrics & Gynecology | 501 N Graham St Ste 550, Portland, OR 97227-2010 | 2012-06-08 |
| 1386910818 | Kirstie Lauren Wilson-panum | Obstetrics & Gynecology | 501 N Graham St Ste 550, Portland, OR 97227-2010 | 2012-03-29 |
| 1508960964 | Kimberly Ann Suriano | Obstetrics & Gynecology | 501 N Graham St Ste 550, Portland, OR 97227-2010 | 2006-09-07 |
| 1770599128 | Brenda Lynn Kehoe | Obstetrics & Gynecology | 501 N Graham St Ste 550, Portland, OR 97227-2010 | 2006-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215396676 | Hanalore Griffiths | Obstetrics & Gynecology | 11750 Sw Barnes Rd Ste 300, Portland, OR 97225-5911 | 2016-02-14 |
| 1487057790 | William Russell Greene | Obstetrics & Gynecology | 2239 Ne 19th Ave, Portland, OR 97212-4616 | 2014-09-30 |
| 1538587654 | Gene De Haan | Obstetrics & Gynecology | 3350 N Interstate Ave, Obstretrics and Gynecology, Portland, OR 97227-3011 | 2014-04-04 |
| 1043650682 | Tuesday Elizabeth Pearson | Obstetrics & Gynecology | 2332 Nw Irving St., Portland, OR 97210 | 2013-06-27 |
| 1760820385 | John Ogorek | Obstetrics & Gynecology | 100 Brickhill Ave Ste 23, Portland, ME 04106-1999 | 2013-06-05 |
| 1841557170 | Eleonore Pettit Werner | Obstetrics & Gynecology | 84 Marginal Way Ste 900, Portland, ME 04101-2476 | 2012-04-11 |
| 1508152026 | Kelli Andersen | Obstetrics & Gynecology | 10000 Se Main St Ste 10, Portland, OR 97216-2441 | 2011-06-22 |
| 1831494087 | Katie Alton | Obstetrics & Gynecology | 3181 Sw Sam Jackson Park Rd # Uhn50, Portland, OR 97239-3011 | 2011-01-20 |
| 1386955037 | Chidimma Uche Abanulo | Obstetrics & Gynecology | 9701 Sw Banes Rd, Suite 150, Portland, OR 97225 | 2010-06-28 |
| 1982920393 | Leo Liu Han | Obstetrics & Gynecology | 3181 Sw Sam Jackson Park Road, Mailcode: L466, Oregon Health and Science University, Portland, OR 80045 | 2010-04-09 |
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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.