Organization
MEDICAL NEUROPYCHOLOGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. CARLOS ANTONIO VILLARREAL SR. PHD MD (NEUROLOGY)
(786) 503-0203
Entity
Organization
Contact information
Practice address
1275 POLK ST, EUGENE, OR 97402-3959
(786) 503-0203
Mailing address
1275 POLK ST, EUGENE, OR 97402-3959
(786) 503-0203
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
541671142
—
OR
Enumeration date
05/14/2026
Last updated
05/14/2026
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