Individual
MR. MARK R WEINROTT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5520 SW MACADAM AVE, SUITE 260, PORTLAND, OR 97239-3768
(503) 221-0368
(503) 223-6492
Mailing address
5520 SW MACADAM AVE, SUITE 260, PORTLAND, OR 97239-3768
(503) 221-0368
(503) 223-6492
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
698
OR
Other
Enumeration date
11/21/2005
Last updated
07/08/2007
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