VERN R WILLIAMS (NPI# 1619967577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619967577 |
| Entity Type | Individual |
| Full Name | VERN R WILLIAMS |
| Credential | MD |
| Practice Address |
15 N Morris St Portland OR 97227-1541 |
| Mailing Address |
1776 Sw Madison St Portland OR 97205-1715 |
| Practice Telephone | 5032309875 |
| Practice Fax Number | 5032309877 |
| Mailing Telephone | 5032241044 |
| Mailing Fax Number | 5036212235 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
MD-17867 | HI | Allopathic & Osteopathic Physicians |
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
MD14502 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 134254 | 05 | |
| WA | 2107839 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12360 E Burnside St, Portland, OR 972331042 | 9712794800 | 9712792051 |
| 1901 Esther St, Newberg, OR 971329529 | 5035544337 | 5035377007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285731448 | Vern Lloyd Williams | Nurse Anesthetist, Certified Registered | 4300 W 7th St, Little Rock, AR 72205-5446 | 2006-09-20 |
| Street Address |
15 N MORRIS ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174915 | Joanne Rosalyn Claire Richardson-tollerton | Family Medicine | 15 N Morris St, Portland, OR 97227-1541 | 2005-06-14 |
| 1063050540 | Jessica M Burgess | Dietitian, Registered | 15 N Morris St, Portland, OR 97227-1541 | 2019-12-16 |
| 1194292011 | Brennan J Crowe | Registered Nurse | 15 N Morris St, Portland, OR 97227-1541 | 2018-10-29 |
| 1295225308 | Angel N Two Bulls | Counselor | 15 N Morris St, Portland, OR 97227 | 2018-05-14 |
| 1851808604 | Laurie A Rieschel | Counselor | 15 N Morris St, Portland, OR 97227-1541 | 2018-01-02 |
| 1720528037 | Kellen J Kjera | Registered Nurse | 15 N Morris St, Portland, OR 97227-1541 | 2017-03-06 |
| 1578000576 | Francis A Tootell | Registered Nurse | 15 N Morris St, Portland, OR 97227-1541 | 2017-01-27 |
| 1265979918 | Dino Brozan | Registered Nurse | 15 N Morris St, Portland, OR 97227-1541 | 2017-01-19 |
| 1528514882 | Mark A Seiffert | Pharmacist | 15 N Morris St, Portland, OR 97227-1541 | 2016-08-28 |
| 1912453275 | Catherine A Fry | Pharmacy Technician | 15 N Morris St, Portland, OR 97227-1541 | 2016-08-28 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619333259 | Bhs Physician Services of Oregon PC | Internal Medicine | 601 Sw 2nd Ave Ste 2100, Portland, OR 97204-3158 | 2016-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205341617 | Mid-valley Healthcare Inc | Internal Medicine | 111 N Main St Ste A, Lebanon, OR 97355-2869 | 2017-12-07 |
| 1366953861 | Ortc, LLC | Internal Medicine | 155 Ne Revere Ave Ste 150, Bend, OR 97701-4147 | 2017-10-24 |
| 1730552845 | Kpg Oregon, LLC | Internal Medicine | 486 12th Street #200, Astoria, OR 97103 | 2015-11-11 |
| 1316948862 | Richard Hindmarsh | Internal Medicine | 100 Mullins Dr Ste C1, Lebanon, OR 97355-2868 | 2005-08-09 |
| 1568625788 | William Barbee Mitchell | Internal Medicine | 715 Lincoln St, Eugene, OR 97401-2502 | 2008-07-08 |
| 1932129160 | Robert John Naymik | Internal Medicine | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2006-07-20 |
| 1134145311 | H Kay Wendlandt | Internal Medicine | 17882 Se Mcloughlin Blvd, Milwaukie, OR 97267-6103 | 2006-07-14 |
| 1851335913 | Bruce E. Matthews | Internal Medicine | 100 Mullins Dr Ste C1, Lebanon, OR 97355-2868 | 2006-06-16 |
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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.