# BRYCE WILLARDSON, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912485574
- **Authorized official:** JULIE WILLARDSON FNP (OWNER)
- **Authorized official phone:** (801) 824-4334

## Contact information

- **Practice address:** 83960 SPRING HILL LN, PLEASANT HILL, OR 97455-9728
- **Practice address phone:** (801) 824-4334
- **Mailing address:** 83960 SPRING HILL LN, PLEASANT HILL, OR 97455-9728
- **Mailing address phone:** (801) 824-4334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 201404741 | OR | Yes |

## Other

- **Enumeration date:** 08/04/2018
- **Last updated:** 08/04/2018