| West Oak Psychology, Llc | |
|
424 Ne 4th Street Mcminnville OR 97128 | |
| (503) 714-1237 | |
| Not Available |
| Full Name | West Oak Psychology, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 424 Ne 4th Street, Mcminnville, Oregon |
| Authorized Official Name and Position | Martin Robison (OWNER) |
| Authorized Official Contact | 5037141237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Oak Psychology, Llc 1144 Wallace Rd Nw # 288 Salem OR 97304-3116 Ph: (503) 714-1237 | West Oak Psychology, Llc 424 Ne 4th Street Mcminnville OR 97128 Ph: (503) 714-1237 |
| NPI Number | 1669123048 |
|---|---|
| Provider Enumeration Date | 01/17/2022 |
| Last Update Date | 01/17/2022 |
| Certification Date | 01/12/2022 |
| Medicare PECOS PAC ID | 7810382629 |
|---|---|
| Medicare Enrollment ID | O20220314001882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669123048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Martin Ray Robison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184233876 PECOS PAC ID: 6305263716 Enrollment ID: I20200831002964 |
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