Angela Leanne Williamson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

484045 Issued in OR

Practice address

1475 SE 100TH Ave
Portland, OR 97216-2537

Phone

(503) 262-6000

NPI assigned

Nov 21, 2022

Sex

Female

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

State licenses

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1699484386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 NE 71ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972135550",
            "telephone_number": "971-220-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 SE 100TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162537",
            "telephone_number": "503-262-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6040 SE Belmont St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972151974",
            "country_code": "US",
            "telephone_number": "503-231-7166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "ANGELA",
        "middle_name": "LEANNE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "484045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Harris Williams III
• Yvonne Sherie Williams
• Wendy Williamse, RN
• Natalie Williamsen
• Aimee Williamson
• Ariel Williamson, PHD
• Bradley Williamson, PMHNP-BC
• Casey Williamson, M.D.
• Charles E Williamson, NP
• Donna Louise Williamson

• Occupational Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.