|
| |
|
1900 Ne Highway 99w Ste K Mcminnville OR 97128-2757 | |
| (503) 472-4511 | |
| (503) 714-6306 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1900 Ne Highway 99w Ste K, Mcminnville, Oregon |
| Authorized Official Name and Position | Roxanne Franklin Wilson (PRESIDENT/PROGRAM ADMINISTRATOR) |
| Authorized Official Contact | 5037146306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
650 Ne 2nd St Unit 133 Mcminnville OR 97128-4762 Ph: (503) 472-4511 | 1900 Ne Highway 99w Ste K Mcminnville OR 97128-2757 Ph: (503) 472-4511 |
| NPI Number | 1033753231 |
|---|---|
| Provider Enumeration Date | 10/30/2019 |
| Last Update Date | 03/28/2020 |
| Certification Date | 03/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033753231 | NPI | - | NPPES |
| 1851475099 | Medicaid | OR |
Laura Gillas Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 Sw Gilson St, Mcminnville, OR 97128 Phone: 503-472-1301 Fax: 503-472-3199 | |
Goforth Inspired Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Ne Baker Creek Rd, Mcminnville, OR 97128 Phone: 971-241-9275 | |
Neurotherapeutic Pediatric Therapies Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2274 Sw 2nd St Ste D, Mcminnville, OR 97128 Phone: 971-261-2159 Fax: 503-266-8632 | |
Vivify Therapeutics, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Ne Evans St Ste 3, Mcminnville, OR 97128 Phone: 971-237-7390 | |
Northwest Community Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Nw Hill Rd Ste 220-221, Mcminnville, OR 97128 Phone: 503-376-9290 |