Individual
ANNE M WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
12400 NW CORNELL RD STE 100, PORTLAND, OR 97229-5689
(503) 291-4000
Mailing address
12400 NW CORNELL RD STE 100, PORTLAND, OR 97229-5689
(503) 291-4000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2369
OR
Other
Enumeration date
08/29/2012
Last updated
09/18/2025
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