Organization
OPAL INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY SUSAN SCHULTZ PH.D (OWNER)
(503) 308-4251
Entity
Organization
Contact information
Practice address
14780 SW OSPREY DR. #285, BEAVERTON, OR 97007
(503) 308-4251
(503) 591-8628
Mailing address
14780 SW OSPREY DR. #285, BEAVERTON, OR 97007
(503) 308-4251
(503) 591-8628
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1639
OR
Other
Enumeration date
12/17/2010
Last updated
04/17/2013
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