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BYWATER HEALTH, LLC
NPI 1356192652
Clinic/Center - Primary Care in Portland, OR

Active since March 27, 2024CLIA 38D2307111 · Waiver
2119 NE HALSEY ST, PORTLAND, OR 97232(503) 975-9398(503) 221-8320 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 30, 2024, Apr 3, 2024 (2 updates tracked since 2024).

About Bywater Health, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BYWATER HEALTH, LLC (NPI 1356192652) is a healthcare organization registered as a primary care in Portland, Oregon and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through June 30, 2028 and lists Charles Eugene Williamson, Owner, as its authorized official.

NPPES Registry Identity

NPI1356192652
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBYWATER HEALTH, LLC
Location Address2119 NE HALSEY STPortland, OR 97232-1522
Mailing Address2119 Ne Halsey StPortland, OR 97232-1522 · (503) 975-9398 · Fax (503) 221-8320
Phone(503) 975-9398
Fax(503) 221-8320
Organization SubpartNo
Authorized OfficialCharles Eugene WilliamsonOwner · (504) 434-9164
Enumeration DateMarch 27, 2024
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
✔ NPI 1356192652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
2119 NE HALSEY ST, Portland, OR 97232
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2307111

Bywater Health, LLC · Portland, OR
Active · expires Jun 30, 2028
CLIA Number38D2307111
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorCharles E. Williamson
Laboratory Phone(503) 975-9398
Laboratory LocationBywater Health, LLC2119 NE Halsey Street, Portland, OR 97232
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES CHRISTOPHER PERDUE CRNP
Nurse Practitioner (Family)
2119 NE HALSEY ST
PORTLAND, OR 97232
Multnomah County (503) 975-9398
DR. PIERRE-CEDRIC BERNARD CROUCH PHD,ANP-BC,PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2119 NE HALSEY ST
PORTLAND, OR 97232
Multnomah County (503) 427-8006
DR. MARY CASELLI PC
Naturopath
2119 NE HALSEY ST
PORTLAND, OR 97232
Multnomah County (503) 335-8983
PINK WELLNESS, LLC
Nurse Practitioner (Psychiatric/Mental Health)
2119 NE HALSEY ST
PORTLAND, OR 97232
Multnomah County (503) 427-8006
DR. JOSEPH ANTHONY CIMINO
Chiropractor
2119 NE HALSEY ST
PORTLAND, OR 97232
Multnomah County (503) 236-2000
CHARLES E WILLIAMSON NP
Nurse Practitioner (Psychiatric/Mental Health)
2119 NE HALSEY ST
PORTLAND, OR 97232
Multnomah County (503) 975-9398
YAZVAC CHIROPRACTIC ASSOCIATES
Chiropractor (Rehabilitation)
2119 NE HALSEY ST
PORTLAND, OR 97232
Multnomah County (503) 249-2121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bywater Health, LLC's NPI number?

The NPI number for Bywater Health, LLC is 1356192652. It was assigned to this organization in the NPPES registry on March 27, 2024.

Where is Bywater Health, LLC located?

Bywater Health, LLC is located at 2119 NE Halsey St, Portland, OR 97232. The listed phone number is (503) 975-9398.

What is Bywater Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Bywater Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2307111) is associated with this NPI, valid through June 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bywater Health, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Bywater Health, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bywater Health, LLC was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.