Organization · Type 2 NPI
Fifth Corner Academy
Child & Adolescent Psychiatry Physician · Mcminnville, OR
NPI number
1033753231
Active
Practice location
1900 NE Highway 99W Ste K
Mcminnville, OR 97128-2757
Fax (503) 714-6306
Mailing address
650 NE 2nd St Unit 133
Mcminnville, OR 97128-4762
Other practice locations
- 1900 NE Highway 99W Ste M, Mcminnville, OR 97128-2757 · (503) 714-6306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Nutrition Education Nutritionist | 133NN1002X | None listed |
| Registered Nurse | 163W00000X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Driver | 172A00000X | None listed |
| Research Study Specialist | 1744R1102X | None listed |
| Health Educator | 174H00000X | None listed |
| Peer Specialist | 175T00000X | None listed |
| Child & Adolescent Psychiatry Physician Primary | 2084P0804X | None listed |
| Prevention Professional | 405300000X | None listed |
Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
3 other providers at this address
About NPI 1033753231
Fifth Corner Academy's National Provider Identifier is 1033753231, issued on Oct 30, 2019. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Mcminnville, OR. The record was last updated on Mar 28, 2020.