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NPI Code Detail

MEDICARE: DR. JOSHUA T PAYTON PSY.D.

MEDICARE: DR. JOSHUA T PAYTON PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist1788OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2820505000OTHERORREGENCE BC BS

General Provider Information

NPI Number : 1467575886
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSHUA T PAYTON PSY.D.
Provider Business Mailing Address
First Line : PO BOX 919
Second Line :
City : MCMINNVILLE
State : OR
Zip : 97128-0919
Country : US
Telephone Number : 971-237-2424
Fax Number : 503-883-9086
Provider Business Practice Location Address
First Line : 117 NW 8TH ST
Second Line :
City : MCMINNVILLE
State : OR
Zip : 97128-5560
Country : US
Telephone Number : 971-237-2424
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2007
Last Update Date : 08/03/2016

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