Willis, Gregory S

Willis, Gregory S is an individual health care provider with primary practice located at 6489 Sw Borland Rd , Tualatin OR 97062-9798. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Technologists, Technicians & Other Technical Service Providers / Radiation Therapy. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Willis, Gregory S can be contacted via phone (503) 692-4843.

Contact Information

Primary practice address
6489 Sw Borland Rd Tualatin OR 97062-9798
Phone: (503) 692-4843
Fax: (503) 692-6543
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD28019 Oregon
Technologists, Technicians & Other Technical Service Providers / Radiation Therapy 2471R0002X MD28019 Oregon

Profile Details

NPI number 1417941600
LBN Legal business name Willis, Gregory S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Jul 16th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417941600 NPPES
Oregon Other 033138015 REGENCE BCBS
Oregon Other 140838 REGENCE BCBS

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