Willamette Falls Neuropsychology LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

WILLAMETTE FALLS NEUROPSYCHOLOGY LLC

Practice address

619 Madison St Ste 108
Oregon City, OR 97045-2354

Phone

(503) 303-4257

Fax

(503) 387-3957

NPI assigned

Dec 17, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Loren Mallory, PHDNPI 1992853402

Title

Owner

Phone

(503) 303-4257

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Loren E Mallory, PHD, ABPP

  • Clinical Neuropsychologist
  • Oregon City, OR
  • NPI 1992853402
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1316533979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 MADISON ST STE 108",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452354",
            "telephone_number": "503-303-4257",
            "fax_number": "503-387-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 MADISON ST STE 108",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452354",
            "telephone_number": "503-303-4257",
            "fax_number": "503-387-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE FALLS NEUROPSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "MALLORY",
        "authorized_official_first_name": "LOREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-303-4257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@wfneuropsychology.com",
            "affiliation": "N",
            "address_1": "619 Madison St Ste 108",
            "city": "Oregon City",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970452354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Willamette Chiropractic LLC
• Willamette Falls Audiology, Inc
• Willamette Falls Family Medicine
• Willamette Falls Hospital
• Willamette Falls Hospital
• Willamette Falls Pediatric Group
• Willamette Valley Family Center
• William C Barth MD PC
• Brent Thomas Williams, CRNFA
• Chad Williams

• Clinical Neuropsychologist in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Clinical Neuropsychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.