Individual
NATASHA WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1271 NE HIGHWAY 99W # 169, MCMINNVILLE, OR 97128-2720
(503) 560-9828
(503) 215-8556
Mailing address
1271 NE HIGHWAY 99W # 169, MCMINNVILLE, OR 97128-2720
(503) 560-9828
(503) 215-8556
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1475
OR
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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