Individual provider Active NPI

Michelle Marie Williams, ND

  • Naturopath
  • Portland, OR
National Provider Identifier
1699209791
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
4074 Issued in OR
Practice address
819 SE Morrison St Ste 160
Portland, OR 97214-6309
Phone
(503) 882-0752
Fax
(503) 908-6742
NPI assigned
Apr 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT60814756 WA
Naturopath 175F00000X 4074 OR Primary

Addresses

Primary practice location

819 SE Morrison St Ste 160
Portland, OR 97214-6309

Mailing address

819 SE Morrison St Ste 160
Portland, OR 97214-6309
Phone (503) 882-0752

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

LicenseStateTypeSpecialty
NT60814756WAMDNaturopath
4074ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sirona Integrative Health LLC Naturopath CurrentSince Jan 1, 2021 Accepting new patients
Natural Health Works, PC Naturopath Past Accepting new patients

Locations

819 SE Morrison St
Ste 160
Portland, OR 97214
Phone (503) 882-0752

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.

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1699209791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 SE MORRISON ST STE 160",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972146309",
            "telephone_number": "503-882-0752",
            "fax_number": "503-908-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 SE MORRISON ST STE 160",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972146309",
            "telephone_number": "503-882-0752",
            "fax_number": "503-908-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-14",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60814756",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4074",
            "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 Mar 1, 2022; 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.