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Individual

DR. ROBERT FRANKLIN WILLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
322 NW REED LA, DALLAS, OR 97338-1482
(503) 623-3181
Mailing address
322 NW REED LA, DALLAS, OR 97338-1482
(503) 623-3181

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11163
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36D0626104
CLIA
Enumeration date
12/06/2006
Last updated
03/07/2023
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