Winwood Center For Wellness, Llc in Salem - Intellectual And Developmental Disabilities

Winwood Center For Wellness, Llc - NPI 1588835631

Winwood Center For Wellness, Llc is a Intellectual And Developmental Disabilities in Salem, Oregon. Winwood Center For Wellness, Llc practices all healthcare services and medical treatments related to Intellectual And Developmental Disabilities. The NPI Number for Winwood Center For Wellness, Llc is 1588835631. The last update date is 2008-03-17.

Winwood Center For Wellness, Llc's current location address is 780 Commercial St Se, Salem, Oregon. You can contact this provider via phone number 5033650045 and fax number 5033659590. The mailing address for Winwood Center For Wellness, Llc is 780 Commercial St Se, Salem, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Winwood Center For Wellness, Llc
Address 780 Commercial St Se, Salem, Oregon
Phone Number 5033650045
Fax Number 5033659590
Sole Proprietor --
Credentials --

Authorized Official

Title or Position LICENSED P
Authorized Official Name Ju Chin-Teh Winifred
Credentials PH.D.
Telephone Number 5033650045

NPI Number Detail

NPI Number 1588835631
Provider Enumeration Date 2008-03-17
Last Updated Date 2008-03-17

Provider Mailing Address Detail

Address 780 Commercial St Se
City Salem
State Oregon (OR)
Post Code 973013462
Phone Number 5033650045
Fax Number 5033659590

Provider's Primary Taxonomy Detail

Speciality Intellectual And Developmental Disabilities
Taxonomy 103Tm1800X
Licence No 1598
Definition:
A psychologist who works with people who have cognitive impairments and developmental disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
278934 OR DMAP

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FAQs about Winwood Center For Wellness, Llc

What is the Winwood Center For Wellness, Llc's 1588835631?

The Winwood Center For Wellness, Llc's NPI (National Provider Identifier) Number is 1588835631. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Winwood Center For Wellness, Llc is geographically located?

The Winwood Center For Wellness, Llc is physically situated at the following location: 780 Commercial St Se, Salem, OR, 973013462.

What is the Winwood Center For Wellness, Llc's specialty and taxonomy code?

The Winwood Center For Wellness, Llc's specialty is Intellectual And Developmental Disabilities, and the corresponding taxonomy code is 103Tm1800X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1588835631 to Winwood Center For Wellness, Llc?

The Centers for Medicare & Medicaid Services originally issued the 1588835631 to Winwood Center For Wellness, Llc on 2008-03-17.

When was the Winwood Center For Wellness, Llc's information last updated?

The Winwood Center For Wellness, Llc's information was last updated on 2008-03-17.

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