| Winwood Center For Wellness, Llc | |
|
780 Commercial St Se Suite 304 Salem OR 97301-3462 | |
| (503) 365-0045 | |
| (503) 365-9590 |
| Full Name | Winwood Center For Wellness, Llc |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 780 Commercial St Se, Salem, Oregon |
| Authorized Official Name and Position | Winifred Chin-teh Ju (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5033650045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winwood Center For Wellness, Llc 780 Commercial St Se Suite 304 Salem OR 97301-3462 Ph: (503) 365-0045 | Winwood Center For Wellness, Llc 780 Commercial St Se Suite 304 Salem OR 97301-3462 Ph: (503) 365-0045 |
| NPI Number | 1588835631 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588835631 | NPI | - | NPPES |
| 278934 | Other | OR | DMAP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 1598 (Oregon) | Primary |
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