Individual provider · Type 1 NPI

Erik Willis

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1669847604 Active

Practice location

4310 NE Killingsworth St
Portland, OR 97218-1404

Mailing address

PO Box 3007
Portland, OR 97208-3007

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed

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About NPI 1669847604

Erik Willis's National Provider Identifier is 1669847604, issued on Dec 2, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Dec 2, 2015.