| Northwest Neurohealth Llc | |
|
501 N. Villa Road Newberg OR 97140 | |
| (503) 819-7969 | |
| (503) 536-6562 |
| Full Name | Northwest Neurohealth Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 501 N. Villa Road, Newberg, Oregon |
| Authorized Official Name and Position | Robert James Weniger (MEMBER) |
| Authorized Official Contact | 5038197969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Neurohealth Llc 515 Villa Rd Newberg OR 97132-1832 Ph: (503) 819-7969 | Northwest Neurohealth Llc 501 N. Villa Road Newberg OR 97140 Ph: (503) 819-7969 |
| NPI Number | 1649640335 |
|---|---|
| Provider Enumeration Date | 10/07/2015 |
| Last Update Date | 10/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649640335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 2035 (Oregon) | Primary |
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