Active NPI
William James Hoppe, MD
- Psychiatry Physician
- Portland, OR
National Provider Identifier
1003123852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G47573
- Practice address
- 13303 NW Springville Rd
Portland, OR 97229-1611 - Phone
- (503) 910-2664
- NPI assigned
- Aug 31, 2010
- Last updated
- Jan 27, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD190130 | OR | |
| Psychiatry Physician | 2084P0800X | G47573 | CA | Primary |
Addresses
Primary practice location
13303 NW Springville Rd
Portland, OR 97229-1611
Mailing address
13303 NW Springville Rd
Portland, OR 97229-1611
Phone (503) 910-2664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 13, 2023 through Aug 13, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G47573 | CA | MD | Psychiatry Physician |
| MD190130 | OR | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1003123852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13303 NW SPRINGVILLE RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972291611",
"telephone_number": "503-910-2664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13303 NW SPRINGVILLE RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972291611",
"telephone_number": "503-910-2664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPPE",
"first_name": "WILLIAM",
"middle_name": "JAMES",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-31",
"last_updated": "2021-01-27",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "MD190130",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G47573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.