| Willamette Falls Neuropsychology | |
|
619 Madison St Ste 108 Oregon City OR 97045-2354 | |
| (503) 303-4257 | |
| Not Available |
| Full Name | Willamette Falls Neuropsychology |
|---|---|
| Speciality | Clinic/center |
| Location | 619 Madison St Ste 108, Oregon City, Oregon |
| Authorized Official Name and Position | Loren Mallory (PROVIDER) |
| Authorized Official Contact | 5033034257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willamette Falls Neuropsychology 619 Madison St Ste 108 Oregon City OR 97045-2354 Ph: (503) 303-4257 | Willamette Falls Neuropsychology 619 Madison St Ste 108 Oregon City OR 97045-2354 Ph: (503) 303-4257 |
| NPI Number | 1679070437 |
|---|---|
| Provider Enumeration Date | 04/09/2018 |
| Last Update Date | 04/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679070437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 978 (Oregon) | Primary |
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