| NPI | 1770023186 |
|---|---|
| Doing Business As | COGNITIVE CARE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ERIC GEORGE WIGHT Manager 503-912-4790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry |
| 103TC0700X Psychologist, Clinical | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2018-09-12 |