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Search › Oregon › 101YM0800X

Gary Willis

NPI 1699610154 · on the registry since 2026

Practice

Address
548 Se Jackson St
Roseburg, OR 97470
Phone
(541) 440-3532
Organisation at this address
Adapt
Adapt
Adapt
Inferred from a shared address, not stated in the registry.
Clinicians at this address
107

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
171M00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon