Individual
GREGORY WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
700 N HAYDEN ISLAND DR STE 335, PORTLAND, OR 97217-8185
(503) 206-6775
(503) 206-8610
Mailing address
700 N HAYDEN ISLAND DR STE 335, PORTLAND, OR 97217-8185
(503) 206-6775
(503) 206-8610
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60542330
WA
Other
Enumeration date
04/03/2015
Last updated
11/03/2017
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