Scott Cabot Willis, PHD PC
NPI 1962636860ActiveOrganization· Psychologist, Clinical· Tigard, OR
Psychologist, Clinical in Tigard, Oregon, registered in NPPES in May 2009. The authorized official on file is Scott Cabot Willis, PHD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962636860 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 6, 2009 |
| Last updated in NPPES | Jan 17, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 919 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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