| NPI | 1730545468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON M. LABS Neuropsychologist/Member Manager 503-310-9333 |
| Organization Subpart ? | |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OR 608) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 608) |
| 103TC0700X Psychologist Clinical (Licence: OR 608) | |
| 103TH0004X Psychologist Health (Licence: OR 608) | |
| 103TR0400X Psychologist Rehabilitation (Licence: OR 608) | |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-11 |