MR. JACK BLANTON WILLS M.S., P.A.
NPI 1043464597
Psychologist - Clinical in Eugene, OR

Q: What is Jack Wills's NPI number?

The NPI number for Jack Wills is 1043464597. It was assigned to this individual provider in the NPPES registry on November 11, 2008.

Q: What is Jack Wills's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jack Wills was last updated on November 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since November 11, 2008

1414 KINCAID ST, EUGENE, OR 97401(541) 505-2080 Get Directions Write a Review

NPPES record last updated: November 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Jack Blanton Wills M.s., P.a. NPPES

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

MR. JACK BLANTON WILLS M.S., P.A. (NPI 1043464597) is an individual clinical provider in Eugene, Oregon, licensed in Oregon (5052) and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1043464597

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMR. JACK BLANTON WILLSCredential: M.S., P.A.

Location Address1414 KINCAID STEugene, OR 97401-3737

Mailing Address1414 Kincaid StEugene, OR 97401-3737 · (541) 505-2080

Phone(541) 505-2080

Sole ProprietorYes

Enumeration DateNovember 11, 2008

✔ NPI 1043464597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OR · 5052

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1414 KINCAID ST, Eugene, OR 97401

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Other Providers at the Same Location NPPES

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

PROF. JOHN KENNETH MILLER PH.D., LMFT

Marriage & Family Therapist

1414 KINCAID ST, SUITE 207
EUGENE, OR 97401

Lane County (541) 338-4336

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 Jack Wills's NPI number?

The NPI number for Jack Wills is 1043464597. It was assigned to this individual provider in the NPPES registry on November 11, 2008.

Where is Jack Wills located?

Jack Wills practices at 1414 Kincaid St, Eugene, OR 97401. The listed phone number is (541) 505-2080.

What is Jack Wills's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jack Wills was last updated on November 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.