| NPI | 1649640335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JAMES WENIGER Member 503-819-7969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OR 2035) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |