Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Oregon Neuropsychological Clinic LLC

Organization Clinical Neuropsychologist · NPI 1588726939

Southern Oregon Neuropsychological Clinic LLC is a Clinical Neuropsychologist in Medford, Oregon. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

837 Alder Creek Dr
Medford, OR 97504
Phone: (541) 608-3878
Fax: (541) 608-3880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X
Clinical Psychologist Taxonomy 103TC0700X

Record details

NPI number1588726939
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Villanueva — Owner · (541) 608-3878
NPI enumeratedDecember 14, 2006
Last updated in NPPESJuly 16, 2018
Mailing address837 Alder Creek Dr, Medford, OR 97504-8911

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