| NPI | 1093278111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVA WHEATON Clinical Psychologist 503-860-5874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2020-10-14 |