Provider Demographics
NPI:1639458409
Name:BETTS, WILLIAM E (PMHNP)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:E
Last Name:BETTS
Suffix:
Gender:M
Credentials:PMHNP
Other - Prefix:MR
Other - First Name:BILL
Other - Middle Name:
Other - Last Name:BETTS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PMHNP
Mailing Address - Street 1:911 COUNTRY CLUB RD
Mailing Address - Street 2:STE 390
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-1302
Mailing Address - Country:US
Mailing Address - Phone:541-505-8621
Mailing Address - Fax:541-654-5063
Practice Address - Street 1:911 COUNTRY CLUB RD
Practice Address - Street 2:STE 390
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401
Practice Address - Country:US
Practice Address - Phone:541-505-8621
Practice Address - Fax:541-654-5063
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-11
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201150085NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health