Jack Blanton Wills, M.S., P.A.

Clinical Psychologist · Eugene, OR

Individual Active NPI

NPI number 1043464597

Practice location

1414 Kincaid St
Eugene, OR 97401-3737
Phone
(541) 505-2080

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NPI record

NPI
1043464597
Entity type
Individual (Type 1)
Enumeration date
November 11, 2008
Last updated
November 11, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X 5052 OR

About Jack Wills

Jack Blanton Wills, M.S., P.A. is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 1414 Kincaid St, Eugene, OR 97401-3737. The NPI number 1043464597 was assigned on November 11, 2008 and the record was last updated on November 11, 2008.

Jack Wills lists a license in the registry: #5052 (OR) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jack Blanton Wills, M.S., P.A.?

The NPI number is 1043464597.

What is the phone number of Jack Wills?

The phone number listed for the practice location is (541) 505-2080.

Where is Jack Wills located?

1414 Kincaid St, Eugene, OR 97401-3737.

What is the taxonomy code for Jack Wills?

The primary taxonomy code is 103TC0700X – Clinical Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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