Active NPI
Mary Kathryn Williams, OTR
- Specialist
- Portland, OR
National Provider Identifier
1235274069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 280552
- Practice address
- 1509 SW Sunset Blvd
Ste. 1K
Portland, OR 97239-2692 - Phone
- (503) 246-7800
- Fax
- (503) 246-7801
- NPI assigned
- Feb 20, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 280552 | OR | Primary |
Addresses
Primary practice location
1509 SW Sunset Blvd
Ste. 1K
Portland, OR 97239-2692
Mailing address
1509 SW Sunset Blvd
Ste. 1K
Portland, OR 97239-2692
Phone (503) 246-7800
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 |
|---|---|---|---|
| 280552 | OR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary K. Williams | Specialist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235274069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 SW SUNSET BLVD",
"address_2": "STE. 1K",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972392692",
"telephone_number": "503-246-7800",
"fax_number": "503-246-7801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 SW SUNSET BLVD",
"address_2": "STE. 1K",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972392692",
"telephone_number": "503-246-7800",
"fax_number": "503-246-7801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MARY",
"middle_name": "KATHRYN",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "280552",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.