Active NPI
Lisa Marie Williamson, LMT
- Contractor
- The Dalles, OR
National Provider Identifier
1003072125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 6967
- Practice address
- 731 Pomona St
The Dalles, OR 97058-4105 - Phone
- (541) 993-5310
- NPI assigned
- Jul 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 6967 | OR | Primary |
Addresses
Primary practice location
731 Pomona St
The Dalles, OR 97058-4105
Mailing address
1508 G St
The Dalles, OR 97058-3058
Phone (541) 506-3743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6967 | OR | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217289600000",
"number": "1003072125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 G ST",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970583058",
"telephone_number": "541-506-3743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 POMONA ST",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970584105",
"telephone_number": "541-993-5310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-29",
"last_updated": "2008-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OR",
"license": "6967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Dalles, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.