Willis, David W
Willis, David W is an individual health care provider with primary practice located at 1675 Sw Marlow Ave Suite 200, Portland OR 97225-5104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as his primary health care specialty. Willis, David W can be contacted via phone (503) 228-6479.Contact Information
Primary practice address
1675 Sw Marlow Ave Suite 200
Portland OR 97225-5104
Phone: (503) 228-6479
Fax: (503) 228-4248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | MD10960 | Oregon |
Profile Details
| NPI number | 1598834533 |
|---|---|
| LBN Legal business name | Willis, David W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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