Southern Oregon Neuropsychological Clinic Llc
Counselor Clinic
837 Alder Creek Dr, Medford
Oregon, 97504
541-608-3878 541-608-3880
Maps & DirectionsSouthern Oregon Neuropsychological Clinic Llc is a Counselor Clinic in Medford, Oregon. It is located at 837 Alder Creek Dr, Medford, OR and its contact number is 541-608-3878. The authorized person for Southern Oregon Neuropsychological Clinic Llc is Dr. Michael R Villanueva
who is Owner of the clinic and his/her contact number is 541-608-3878.
Southern Oregon Neuropsychological Clinic Llc Clinic has individuals who are licensure in clinical psychology and has done specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology. Neuropsychology is a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Complete Clinic Profile:
Southern Oregon Neuropsychological Clinic Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Southern Oregon Neuropsychological Clinic Llc |
| Specialization: | Clinical Neuropsychologist |
| Clinic Address: | 837 Alder Creek Dr, Medford,
Oregon, 97504 |
| Phone: | 541-608-3878 |
| Fax: | 541-608-3880 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Michael R Villanueva |
| Position: | Owner |
| Contact Number: | 541-608-3878 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Southern Oregon Neuropsychological Clinic Llc clinic are as mentioned below.
| NPI Number: | 1588726939 |
| NPI Enumeration Date: | 14 Dec, 2006 |
| NPI Last Update On: | 16 Jul, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southern Oregon Neuropsychological Clinic Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinical Neuropsychologist | | | Primary | |
| Clinical | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 042601 | Medicaid | Oregon | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Southern Oregon Neuropsychological Clinic Llc
837 Alder Creek Dr,
Medford, Oregon |
| Zip: | 97504-8911 |
| Phone Number: | 541-608-3878 |
| Fax Number: | 541-608-3880 |
Patients can reach Southern Oregon Neuropsychological Clinic Llc at
837 Alder Creek Dr, Medford, Oregon or can
call to book an appointment on 541-608-3878.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.