Scott Cabot Willis, PHD PC

NPI #1962636860 in Tigard, Oregon

Provider Information

NPI Number: 1962636860
Entity Type: Organization
Organization Name: Scott Cabot Willis, PHD PC
Primary Specialty: Psychologist - Clinical
Enumeration Date: May 6, 2009
Last Updated: Jan 17, 2013

Practice Location

Address: 7157 SW BEVELAND RD
Address 2: SUITE 100
City: Tigard
State: Oregon
ZIP Code: 97223-9628
Phone: (503) 547-9505

Authorized Official

Name: DR. SCOTT CABOT WILLIS, PHD
Title: PRESIDENT
Phone: (503) 547-9505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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