Jessica Williams
Social Worker in Portland, OR. Individual provider (NPI-1).
NPI number1154797496
StatusActive
Last updated in NPPESAug 20, 2015
Details
- NPI
- 1154797496
- Entity type
- Individual (NPI-1)
- Name
- Jessica Williams
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2015
- Last updated
- Aug 20, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
1307 Se 37th AvePortland, OR 97214-5101
Phone 518-420-7119
Mailing address
8770 Sw Scoffins StTigard, OR 97223-6226
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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