| Samaritan Neuropsychology Albany | |
|
534 Pleasant View Way Nw, Suite 200 Albany OR 97321-1700 | |
| (541) 812-5760 | |
| (541) 812-5650 |
| Full Name | Samaritan Neuropsychology Albany |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 534 Pleasant View Way Nw, Suite 200, Albany, Oregon |
| Authorized Official Name and Position | David G. Triebes (CEO) |
| Authorized Official Contact | 5418124102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Neuropsychology Albany 534 Pleasant View Way Nw, Suite 200 Albany OR 97321-1700 Ph: (541) 812-5760 | Samaritan Neuropsychology Albany 534 Pleasant View Way Nw, Suite 200 Albany OR 97321-1700 Ph: (541) 812-5760 |
| NPI Number | 1609265123 |
|---|---|
| Provider Enumeration Date | 01/21/2015 |
| Last Update Date | 10/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609265123 | NPI | - | NPPES |
| 500686944 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 14-1459 (Oregon) | Primary |
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