Active NPI
James Lee Williams
- Peer Specialist
- Hillsboro, OR
National Provider Identifier
1659410686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 11-CRM-134
- Practice address
- 247 SE Washington St Ste 100
Hillsboro, OR 97123-4169 - Phone
- (971) 386-3443
- Fax
- (503) 648-0755
- NPI assigned
- Feb 6, 2007
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Peer Specialist | 175T00000X | 11-CRM-134 | OR | Primary |
Addresses
Primary practice location
247 SE Washington St Ste 100
Hillsboro, OR 97123-4169
Mailing address
678 S Fawn St
Cornelius, OR 97113-7019
Phone (971) 386-3443
Other names 1
- Mr. James Lee Wolfe
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 |
|---|---|---|---|
| 11-CRM-134 | OR | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482192000000",
"number": "1659410686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "678 S FAWN ST",
"city": "CORNELIUS",
"state": "OR",
"postal_code": "971137019",
"telephone_number": "971-386-3443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 SE WASHINGTON ST STE 100",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234169",
"telephone_number": "971-386-3443",
"fax_number": "503-648-0755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JAMES",
"middle_name": "LEE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2016-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": "11-CRM-134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMES",
"last_name": "WOLFE",
"middle_name": "LEE",
"prefix": "MR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.