Willis, Scott Cabot
Willis, Scott Cabot is an individual health care provider with primary practice located at 7157 Sw Beveland Rd Suite 100, Tigard OR 97223-9628. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Willis, Scott Cabot can be contacted via phone (503) 547-9505.Contact Information
Primary practice address
7157 Sw Beveland Rd Suite 100
Tigard OR 97223-9628
Phone: (503) 547-9505
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 919 | Oregon |
Profile Details
| NPI number | 1679566848 |
|---|---|
| LBN Legal business name | Willis, Scott Cabot |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Jan 17th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679566848 | NPPES |
| Oregon | MEDICAID | 042494 |
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