Willis, Paul

Willis, Paul is an individual health care provider with primary practice located at 912 Ne Kelly Ave , Gresham OR 97030-5629. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Willis, Paul can be contacted via phone (503) 912-5501.

Contact Information

Primary practice address
912 Ne Kelly Ave Gresham OR 97030-5629
Phone: (503) 912-5501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1780230615
LBN Legal business name Willis, Paul
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2019
Last updated Aug 15th, 2019 - about 6 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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