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Gregory S Willis, MD
Radiation Therapy Radiologic Technologist in Tualatin, Oregon
NPI 1417941600

Gregory S Willis is a Radiation Therapy Radiologic Technologist based in Tualatin, OR and is specialized in Radiation Therapy. Gregory S Willis practices in Tualatin, OR and has the professional credentials of MD. The NPI Number for Gregory S Willis is 1417941600 and holds a License No. MD28019 (Oregon).

The current practice location address for Gregory S Willis is 6489 Sw Borland Rd, Tualatin, OR and can be reached out via phone at 503-692-4843 and via fax at 503-692-6543.

Location: 6489 Sw Borland Rd, Tualatin, OR, 97062-9798
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417941600
Provider Name
Gregory S Willis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6489 Sw Borland Rd, Tualatin, OR, 97062-9798
Phone Number
503-692-4843
Fax Number
503-692-6543
Provider Enumeration Date
09/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
033138015 01 OR REGENCE BCBS
140838 01 OR MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
6489 Sw Borland Rd
City
Tualatin
State
Oregon
Zip
97062-9798
Phone Number
503-692-4843
Fax Number
503-692-6543
person
Provider Business Mailing Address Details
Address
6489 Sw Borland Rd
City
Tualatin
State
Oregon
Zip
97062-9798
Phone Number
503-692-4843
Fax Number
503-692-6543
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
MD28019 (Oregon)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Radiation Therapy
Taxonomy
2471R0002X
License No.
MD28019 (Oregon)
Definition
Definition to come...
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