Gregory S Willis in Tualatin - Radiation Therapy
Gregory S Willis - NPI 1417941600
Gregory S Willis is a Radiation Therapy in Tualatin, Oregon. Gregory S Willis practices all healthcare services and medical treatments related to Radiation Therapy. The NPI Number for Gregory S Willis is 1417941600. The last update date is 2008-07-16.
Gregory S Willis's current location address is 6489 Sw Borland Rd, Tualatin, Oregon. You can contact this provider via phone number 5036924843 and fax number 5036926543. The mailing address for Gregory S Willis is 6489 Sw Borland Rd, Tualatin, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory S Willis |
|---|---|
| Address | 6489 Sw Borland Rd, Tualatin, Oregon |
| Phone Number | 5036924843 |
| Fax Number | 5036926543 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417941600 |
|---|---|
| Provider Enumeration Date | 2005-09-02 |
| Last Updated Date | 2008-07-16 |
Provider Mailing Address Detail
| Address | 6489 Sw Borland Rd |
|---|---|
| City | Tualatin |
| State | Oregon (OR) |
| Post Code | 970629798 |
| Phone Number | 5036924843 |
| Fax Number | 5036926543 |
Provider's Primary Taxonomy Detail
| Speciality | Radiation Therapy |
|---|---|
| Taxonomy | 2471R0002X |
| Licence No | MD28019 |
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Definition: A radiologic technologist who specializes in radiation therapy and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy, in administration of radiation therapy, exam techniques, eq |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33138015 | OR | REGENCE BCBS | |
| 140838 | OR | MEDICARE PTAN |
Post Comment/ Review Below
What is the Gregory S Willis's unique identification number?
The Gregory S Willis has been assigned the NPI (National Provider Identifier) Number 1417941600 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Gregory S Willis is physically located?
The Gregory S Willis is situated at the following address: 6489 Sw Borland Rd, Tualatin, OR 970629798.
What is Gregory S Willis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gregory S Willis's area of specialization is Radiation Therapy, and the corresponding taxonomy code that categorizes this field of practice is 2471R0002X.
On what date did the Gregory S Willis receive its 1417941600 assignment from the Centers for Medicare & Medicaid Services?
The Gregory S Willis was assigned its 1417941600 by the Centers for Medicare & Medicaid Services on 2005-09-02.
When was the information pertaining to Gregory S Willis most recently updated or revised?
The details related to Gregory S Willis, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-16.