Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jack Blanton Wills, MS, PA

Individual provider Clinical Psychologist · NPI 1043464597

Mr. Jack Blanton Wills, MS, PA is a Clinical Psychologist in Eugene, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2008
What do these letters mean?
MS — Master of Science
A graduate science degree.
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1414 Kincaid St
Eugene, OR 97401-3737
Phone: (541) 505-2080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 5052 (OR)

Record details

NPI number1043464597
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , PA
Sole proprietorYes
NPI enumeratedNovember 11, 2008
Last updated in NPPESNovember 11, 2008

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