Individual provider · Type 1 NPI
Nural Willis Iii
Mental Health Counselor · Portland, OR
NPI number
1447804208
Active
Practice location
209 SW 4th Ave Ste 210
Portland, OR 97204-1824
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1447804208
Nural Willis Iii's National Provider Identifier is 1447804208, issued on Jul 30, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 30, 2019.