Wayne V Adams, PHD
Individual provider Active NPI Clinical Neuropsychologist · Newberg, OR
NPI 1992826481 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992826481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Neuropsychologist 103G00000X
- License
- B00001442 (OR)
- Practice address
- 414 N. Meridian Street
Newberg, OR 97132 - Phone
- (503) 554-2371
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B00001442 | OR | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George Fox University | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | B00001442 | OR | Yes |
Addresses
Primary practice location
414 N. Meridian Street
Newberg, OR 97132
Mailing address
2136 Thorne St
Newberg, OR 97132-9516
Phone (503) 554-2371
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All providers in Newberg, OR · Clinical Neuropsychologist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.