William Thomas Ryan Meristem, BA, QMHA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

De Paul Treatment Centers
1312 SW Washington
Portland, OR 97208-3007

Phone

(503) 535-1150

NPI assigned

Jul 30, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1548602774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DE PAUL TREATMENT CENTERS",
            "address_2": "PO BOX 3007",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083007",
            "telephone_number": "503-535-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DE PAUL TREATMENT CENTERS",
            "address_2": "1312 SW WASHINGTON",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083007",
            "telephone_number": "503-535-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERISTEM",
        "first_name": "WILLIAM THOMAS",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "BA, QMHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-30",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karrie Jeanne Mergen
• Aaron Merickel, PHARMD
• Meridian Psychotherapy, LLC
• Meridian Support Services LLC
• Brittney Merino
• Merit LLC
• Matthias Johannes Merkel, M.D.
• Mark John Merkens, MD
• George Gergely Merkl Jr., H.A.S.
• Jonathan Merkley, PA-C

• Addiction (Substance Use Disorder) Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.