Individual
NATASHA ANNE VILAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
861 FOX ST, ASHLAND, OR 97520-9314
(541) 292-9566
(541) 292-5015
Mailing address
861 FOX ST, ASHLAND, OR 97520-9314
(541) 292-9566
(541) 292-5015
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1414
OR
103TC0700X
Clinical Psychologist
PSY-PSY-APP-4445
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49700903
—
HI
Enumeration date
08/17/2006
Last updated
11/01/2023
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