| NPI | 1679070437 |
|---|---|
| Doing Business As | WILLAMETTE FALLS NEUROPSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | LOREN MALLORY Provider 503-303-4257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OR 978) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |