| NPI | 1437201878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY SCOTT KAUDER Owner 541-488-8988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OR 1537) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 1537) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2013-07-08 |