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Individual

TINA WILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1900 MCLOUGHLIN BLVD STE 24B, OREGON CITY, OR 97045-2076
(503) 722-8111
Mailing address
1900 MCLOUGHLIN BLVD STE 24B, OREGON CITY, OR 97045-2076
(503) 722-8111

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HASP316580
OR

Other

Enumeration date
01/06/2016
Last updated
01/06/2016
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