Paul Willis

NPI #1780230615 in Gresham, Oregon

Provider Information

NPI Number: 1780230615
Entity Type: Individual
Name: Paul Willis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 15, 2019
Last Updated: Aug 15, 2019

Practice Location

Address: 912 NE KELLY AVE
City: Gresham
State: Oregon
ZIP Code: 97030-5629
Phone: (503) 912-5501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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