ERIK WILLIS

PORTLAND, OR
NPI1669847604
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Additional Taxonomies101Y00000X Counselor
101YM0800X Counselor Mental Health
Enumeration Date2015-12-02
Last Update Date2015-12-02
Business Address
MR. ERIK WILLIS
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218-1404
Phone number: 503-535-1181
Mailing Address
MR. ERIK WILLIS
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number: 503-535-1181