NPI 1508854290

Norman Robert Willis, MD

Practitioner Radiation Oncology Physician Lewiston, ID

Practice location

Address: 504 6th St, Lewiston, ID 83501-2439
Phone: (208) 799-5600
Fax: (208) 799-5755
Mailing address: 6489 SW Borland Rd, Tualatin, OR 97062-9798

Registered specialties (3)

Radiation Oncology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0001X Licence M-14114 (ID)

Other Radiology providers in Idaho →

Therapeutic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0203X Licence MD09427 (OR)

Radiation Oncology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0001X Licence MD09427 (OR)

Registry record

NPI: 1508854290
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Oct 2005
Record last updated: 28 Sep 2022

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.