MRS. MANDY MELISSA WILLIAMS (NPI# 1841472065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841472065 |
| Entity Type | Individual |
| Full Name | MRS. MANDY MELISSA WILLIAMS |
| Credential | PA-C |
| Practice Address |
265 N Broadway Portland OR 97227-1800 |
| Mailing Address |
1498 Se Tech Center Pl Ste 240 Vancouver WA 98683-5508 |
| Practice Telephone | 5032801223 |
| Practice Fax Number | 5035285252 |
| Mailing Telephone | 3605971309 |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2018-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA01310 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841723061 | Mandy Williams | Pharmacist | 1073 W Meeting St, Lancaster, SC 29720-2205 | 2017-04-05 |
| 1184172256 | Mandy Williams | Audiologist | 1708 Fall Hill Ave, Suite 200, Fredericksburg, VA 22401-3511 | 2016-09-16 |
| 1174957047 | Mandy Williams | Counselor | 412 Citico St, Knoxville, TN 37921-5811 | 2013-08-28 |
| 1407109960 | Mandy D Williams | Speech-Language Pathologist | 655 S 8th St, Beaumont, TX 77701-4624 | 2012-10-22 |
| 1134289945 | Mandy J Williams | Speech-Language Pathologist | 414 E Clark St, Vermillion, SD 57069 | 2006-12-11 |
| 1376602912 | Mandy N. Williams | Counselor | 3961 Fish Hatchery Rd, Gaston, SC 29053-9038 | 2006-12-08 |
| Street Address |
265 N BROADWAY |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919013 | Margaret Mcguinness | Pharmacist | 265 N Broadway, Portland, OR 97227-1800 | 2020-07-13 |
| 1609224450 | Lydia Mills | Social Worker | 265 N Broadway, Portland, OR 97227-1800 | 2016-06-01 |
| 1881056240 | Northwest Cancer Specialists | Clinical Nurse Specialist | 265 N Broadway, Portland, OR 97227-1800 | 2016-03-24 |
| 1831509926 | William Tristram Arscott | Radiology | 265 N Broadway, Portland, OR 97227-1800 | 2014-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1396250122 | Saron Theresa Sufuentes | Physician Assistant | 578 Nw Marlborough Ave, Portland, OR 97210-3104 | 2017-12-01 |
| 1952775520 | Lauren Govier | Physician Assistant | 501 N Graham St Ste 415, Portland, OR 97227-2006 | 2015-11-19 |
| 1619346368 | Ryan Mcmahon | Physician Assistant | 3415 Ne 20th Ave, Portland, OR 97212-2416 | 2015-09-23 |
| 1881090033 | Sanja Bukarac | Physician Assistant | 20 Buca Run, Portland, ME 04103-1427 | 2014-11-17 |
| 1194130716 | Nicole Lessard | Physician Assistant | 27 Bramhall St, Portland, ME 04102 | 2014-06-23 |
| 1528499910 | Elan Kennedy | Physician Assistant | 3181 Sw Sam Jackson Park Rd., Mail Code L353, Ohsu, Division of Cardiothoracic Surgery, Portland, OR 97239 | 2013-12-10 |
| 1013161405 | Lorraine Walburga Gohman | Physician Assistant | 9155 Sw Barnes Rd Ste 440, Portland, OR 97225-6631 | 2008-11-11 |
| 1063612455 | Donald R Noel | Physician Assistant | 10101 Se Main St Ste 3008, Portland, OR 97216-2458 | 2007-07-23 |
| 1245308618 | Colleen D Phillips | Physician Assistant | 12400 Nw Cornell Rd Ste 200, Portland, OR 97229-5689 | 2006-12-01 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.