Organization
SCOTT CABOT WILLIS, PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT CABOT WILLIS PHD (PRESIDENT)
(503) 547-9505
Entity
Organization
Contact information
Practice address
7157 SW BEVELAND RD, SUITE 100, TIGARD, OR 97223-9628
(503) 547-9505
Mailing address
7157 SW BEVELAND RD, SUITE 100, TIGARD, OR 97223-9628
(503) 547-9505
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
919
OR
Other
Enumeration date
05/06/2009
Last updated
01/17/2013
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