Individual
DR. MARK R MCMINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
18703 NE WILLIAMSON RD, NEWBERG, OR 97132-6778
(971) 312-8453
Mailing address
18703 NE WILLIAMSON RD, NEWBERG, OR 97132-6778
(503) 710-1433
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1794
OR
Other
Enumeration date
01/03/2007
Last updated
10/08/2022
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