Organization
WINWOOD CENTER FOR WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WINIFRED CHIN-TEH JU PH.D. (LICENSED PSYCHOLOGIST)
(503) 365-0045
Entity
Organization
Contact information
Practice address
780 COMMERCIAL ST SE, SUITE 304, SALEM, OR 97301-3462
(503) 365-0045
(503) 365-9590
Mailing address
780 COMMERCIAL ST SE, SUITE 304, SALEM, OR 97301-3462
(503) 365-0045
(503) 365-9590
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
1598
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
278934
DMAP
OR
Enumeration date
03/17/2008
Last updated
03/17/2008
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