OrganizationActive
Southern Oregon Neuropsychological Clinic LLC
NPI 1588726939 · Clinical Neuropsychologist · Medford, OR
Provider details
- NPI number
- 1588726939
- Entity type
- Organization
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Michael Villanueva, Owner(541) 608-3878
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
837 Alder Creek Dr
Medford, OR 97504
Phone: (541) 608-3878
Fax: (541) 608-3880
Street-level locationGet directions
Mailing address
837 Alder Creek Dr
Medford, OR 97504-8911
Registry dates
- Enumerated
- 2006-12-14
- Last updated
- 2018-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.