Organization Active NPI

Mary K. Williams

  • Specialist
  • Portland, OR
National Provider Identifier
1306056221
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
280552 Issued in OR
Legal business name
MARY K. WILLIAMS
Practice address
1509 SW Sunset Blvd
Suite 1K
Portland, OR 97239-2692
Phone
(503) 246-7800
Fax
(503) 246-7801
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Mary Kathryn Williams, OTRNPI 1235274069
Title
Occupational Therapist
Phone
(503) 246-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 280552 OR Primary

Addresses

Primary practice location

1509 SW Sunset Blvd
Suite 1K
Portland, OR 97239-2692

Mailing address

1509 SW Sunset Blvd
Suite 1K
Portland, OR 97239-2692
Phone (503) 246-7800

Other names 1

  • Celebrate the Senses Doing business as

National Provider Directory

National Provider Directory

Locations

1509 SW Sunset Blvd
Ste 1K
Portland, OR 97239
Phone (503) 246-7800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1306056221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 SW SUNSET BLVD",
            "address_2": "SUITE 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": "SUITE 1K",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972392692",
            "telephone_number": "503-246-7800",
            "fax_number": "503-246-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY K. WILLIAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "503-246-7800",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "280552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Celebrate the Senses",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 26, 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.

Verify at the official NPI Registry.