Healthcare Provider Details

I. General information

NPI: 1922329812
Provider Name (Legal Business Name): MCMINNVILLE PSYCHIATRIC ASSOCIOATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2010
Last Update Date: 08/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 NE 3RD ST SUITE 6
MCMINNVILLE OR
97128-4730
US

IV. Provider business mailing address

309 NE 3RD ST SUITE 6
MCMINNVILLE OR
97128-4730
US

V. Phone/Fax

Practice location:
  • Phone: 503-472-3705
  • Fax: 503-472-3705
Mailing address:
  • Phone: 503-472-3705
  • Fax: 503-472-3705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: JULIA ANNE WEINSTEIN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 971-241-8963