NPI 1588726939

Southern Oregon Neuropsychological Clinic LLC

Organisation Clinical Neuropsychologist Medford, OR

Practice location

Address: 837 Alder Creek Dr, Medford, OR 97504
Phone: (541) 608-3878
Fax: (541) 608-3880
Mailing address: 837 Alder Creek Dr, Medford, OR 97504-8911

Authorised official

Name: Michael R Villanueva
Title: Owner
Phone: (541) 608-3878

Registered specialties (2)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X

Other Clinical Neuropsychologist providers in Oregon →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X

Other Psychologist providers in Oregon →

Registry record

NPI: 1588726939
Entity type: Organization
NPI issued: 14 Dec 2006
Record last updated: 16 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.