Organization
NORTHWEST NEUROHEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JAMES WENIGER PSY. D. (MEMBER)
(503) 819-7969
Entity
Organization
Contact information
Practice address
501 N. VILLA ROAD, NEWBERG, OR 97140
(503) 819-7969
(503) 536-6562
Mailing address
515 VILLA RD, NEWBERG, OR 97132-1832
(503) 819-7969
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2035
OR
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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