Jared Helaman Willis D.D.S.

NPI 1659659589 - Dentist - 1223G0001X

NPI Details
NPI 1659659589
Gender Male
Enumeration Date 07/26/2011
Last Updated 07/26/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
PORTLAND OR, 97232-1309, US
Phone (503) 288-5361
Business Location
10414 SE PINE ST
PORTLAND OR, 97216-4608, US
Phone (347) 308-3811
Taxonomy Code 1223G0001X
License State Oregon
License Number D9616
Remove 1659659589 NPI Number

According to our database, Dr. Jared Helaman Willis D.D.S. NPI is 1659659589, taxonomy code is 1223G0001X and license number is D9616, license state is located at Oregon. Jared Helaman Willis D.D.S. physically located at 2038 Lloyd Ctr, Portland OR, 97232-1309. NPI Number Jared Helaman Willis D.D.S. has the Individual type.

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1659659589 NPI number is provided on an as is basis without warranty of any kind. 1659659589 is maintained by the National Plan & Provider Enumeration System. The contents of Jared Helaman Willis D.D.S. are for informational purposes only.