| NPI | 1639472319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY SUSAN SCHULTZ Owner 503-308-4251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OR 1639) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2013-04-17 |