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DR. DAVID NORTHWAY PHD

Clinical Neuropsychologist

Eugene, Oregon

Provider NPI: 1972698140

Provider Information:
DR. DAVID  NORTHWAY PHD
Gender: M
Sole Proprietor


Practice Location:
291 WEST 12TH ST.  EUGENE, OR 97401 US
Tel: 541-683-1104  Fax: --

Business Mailing Address:
291 WEST 12TH ST.  EUGENE, OR 97401 US
Tel: --  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
OR1135
X103T00000XBehavioral Health & Social Service Providers
Psychologist
OR1135
X103TF0200XBehavioral Health & Social Service Providers
Psychologist
OR1135

Other Provider Identifiers:

IssuerNumberStateType
OMAP045034OR01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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