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ANGELINE DOMINIQUE WILLIS
NPI 1013477462
Counselor - Mental Health in Salem, OR

Active since March 21, 2019
821 SAGINAW ST S, SALEM, OR 97302(503) 315-8646 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angeline Dominique Willis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELINE DOMINIQUE WILLIS (NPI 1013477462) is an individual mental health provider in Salem, Oregon and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1013477462
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANGELINE DOMINIQUE WILLIS
Location Address821 SAGINAW ST SSalem, OR 97302-4121
Mailing Address30323 S Bruce Tomlin StMolalla, OR 97038-7624 · (503) 654-3400
Phone(503) 315-8646
Sole ProprietorNo
Enumeration DateMarch 21, 2019
✔ NPI 1013477462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
821 SAGINAW ST S, Salem, OR 97302
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRYSTAL TORRES-BARAJAS
Case Manager/Care Coordinator
821 SAGINAW ST S
SALEM, OR 97302
Marion County (503) 589-4046
MRS. KELLIE HERBERT
Case Manager/Care Coordinator
821 SAGINAW ST S
SALEM, OR 97302
Marion County (503) 362-1999
TAMARA SIMONSEN QMHA
Behavior Analyst
821 SAGINAW ST S
SALEM, OR 97302
Marion County (503) 589-4046
BRITTANY ASHTON BALDWIN QMHA
Behavior Analyst
821 SAGINAW ST S
SALEM, OR 97302
Marion County (503) 362-1999
DAVID WEAR PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
821 SAGINAW ST S
SALEM, OR 97302
Marion County (503) 589-4046
MRS. JULIENNE CENTENO QMHP
Counselor (Mental Health)
821 SAGINAW ST S
SALEM, OR 97302
Marion County (503) 589-4046
ISADORA SAMSON DEVECCHIO QMHA
Case Manager/Care Coordinator
821 SAGINAW ST S
SALEM, OR 97302
Marion County (410) 422-1177
SAGE QUANDT-DETO
Social Worker
821 SAGINAW ST S
SALEM, OR 97302
Marion County (503) 589-4046

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angeline Willis's NPI number?

The NPI number for Angeline Willis is 1013477462. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Angeline Willis located?

Angeline Willis practices at 821 Saginaw St S, Salem, OR 97302. The listed phone number is (503) 315-8646.

What is Angeline Willis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Angeline Willis was last updated on March 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.