Individual
DR. VIVA WHEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
603 E. HANCOCK ST., NEWBERG, OR 97132-3806
(503) 476-1516
Mailing address
16485 NE LEANDER DR, SHERWOOD, OR 97140-8579
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2982
OR
103TC0700X
Clinical Psychologist
Primary
2982
OR
Other
Enumeration date
01/18/2019
Last updated
10/14/2020
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