Organization
NATASHA WONG, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATASHA A.E. WONG PSY.D. (PRESIDENT)
(503) 560-9828
Entity
Organization
Contact information
Practice address
1271 NE HIGHWAY 99W # 169, MCMINNVILLE, OR 97128-2720
(503) 560-9828
Mailing address
1271 NE HIGHWAY 99W, #169, MCMINNVILLE, OR 97128-2720
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1475
OR
Other
Enumeration date
01/24/2007
Last updated
01/03/2014
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