MS. SHERYL JANINE WILLIAMS PA-C NPI 1619968187

NPI Information

NPI: 1619968187
Provider Name: MS. SHERYL JANINE WILLIAMS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
5050 NE HOYT ST
SUITE 454
PORTLAND, OR
ZIP 97213
Phone: (503) 254-6405
Get Directions

MS. Sheryl Janine Williams, PA-C is a medical physician assistant in Portland, OR. MS. Sheryl Janine Williams, PA-C NPI is 1619968187. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5050 NE HOYT ST
SUITE 454
PORTLAND, OR
ZIP 97213-991
Phone: (503) 254-6405
Fax: (503) 215-6429

The enumeration date for this NPI number is 11/2/2005 and was last updated on 3/25/2016.

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	363AM0700X	Physician Assistant	Medical	PA10005231	WASHINGTON	No
2	363AM0700X	Physician Assistant	Medical	PA00743	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8488538	MEDICAID	WASHINGTON
2	P01178825	OTHER	OREGON	RR MEDICARE - PHS
3	500642065	MEDICAID	OREGON
4	R166715	MEDICARE PIN	OREGON
5	8869544	MEDICARE PIN	WASHINGTON
6	R161500	MEDICARE PIN	OREGON

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: 4/28/2024

NPI Synchronization or Removal

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