Individual
DR. DAVID NORTHWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
291 WEST 12TH ST., EUGENE, OR 97401-3409
(541) 683-1104
Mailing address
291 WEST 12TH ST., EUGENE, OR 97401-3409
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1135
OR
103T00000X
Psychologist
Primary
1135
OR
103TF0200X
Forensic Psychologist
1135
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045034
OMAP
OR
Enumeration date
10/04/2006
Last updated
09/11/2025
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