Individual provider Active NPI

Shannon Leshae Williams, CRM

  • Peer Specialist
  • Portland, OR
National Provider Identifier
1730098609
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
26-CRM-5306 Issued in AZ
Practice address
3231 SE 50TH Ave
Portland, OR 97206-2248
Phone
(503) 238-5203
NPI assigned
Sep 4, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 26-CRM-5306 AZ Primary

Addresses

Primary practice location

3231 SE 50TH Ave
Portland, OR 97206-2248

Mailing address

8800 SE Causey Loop Apt D201
Happy Valley, OR 97086-2681
Phone (503) 878-9720

Other names 1

  • Roamie Leshae Williams Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1730098609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SE CAUSEY LOOP APT D201",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970862681",
            "telephone_number": "503-878-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 SE 50TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062248",
            "telephone_number": "503-238-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHANNON",
        "middle_name": "LESHAE",
        "credential": "CRM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "AZ",
            "license": "26-CRM-5306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROAMIE",
            "last_name": "WILLIAMS",
            "middle_name": "LESHAE",
            "credential": "CRM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.