Active NPI
William Thomas Hallett, L.M.T.
- Specialist
- Portland, OR
National Provider Identifier
1043642499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 18758
- Practice address
- 511 SW 10TH Ave
Suite# 1108
Portland, OR 97205-2732 - Phone
- (503) 224-6800
- NPI assigned
- Aug 7, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 18758 | OR | Primary |
Addresses
Primary practice location
511 SW 10TH Ave
Suite# 1108
Portland, OR 97205-2732
Mailing address
511 SW 10TH Ave Ste 708
Portland, OR 97205-2708
Phone (503) 224-6800
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 |
|---|---|---|---|
| 18758 | OR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palaquin, LLC. | Specialist | Past | Accepting new patients |
| Will Hallett Bodywork, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Point of Service
- Portland, OR
- NPI 1538567847
-
- Specialist
- Portland, OR
- NPI 1386885564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1043642499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 SW 10TH AVE STE 708",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972052708",
"telephone_number": "503-224-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 SW 10TH AVE",
"address_2": "SUITE# 1108",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972052732",
"telephone_number": "503-224-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLETT",
"first_name": "WILLIAM",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "L.M.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-07",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "18758",
"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 Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.