MR. WILLIAM THOMAS RYAN MERISTEM BA QMHA NPI 1548602774

NPI Information

NPI: 1548602774
Provider Name: MR. WILLIAM THOMAS RYAN MERISTEM, BA, QMHA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
DE PAUL TREATMENT CENTERS
1312 SW WASHINGTON
PORTLAND, OR
ZIP 97208
Phone: (503) 535-1150
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MR. William Thomas Ryan Meristem, BA, QMHA is an addiction (substance use disorder) counselor in Portland, OR. MR. William Thomas Ryan Meristem, BA, QMHA NPI is 1548602774. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

DE PAUL TREATMENT CENTERS
1312 SW WASHINGTON
PORTLAND, OR
ZIP 97208-007
Phone: (503) 535-1150

The enumeration date for this NPI number is 7/30/2013 and was last updated on 10/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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