Individual
SCOTT WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADCII
Contact information
Practice address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-6611
(541) 265-4945
Mailing address
853 NE LAKEWOOD DR, NEWPORT, OR 97365-1909
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
97R21
OR
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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