NPI 1003369893
Jennifer Willis, QMHA
Practice location
- Address
- 18417 SE Oak St, Portland, OR 97233-4850
- Phone
- (971) 727-8026
- Mailing address
- 14600 NW Cornell Rd, Portland, OR 97229-5442
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1003369893
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Jul 2016
- Record last updated
- 14 Jul 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.