1033753231 FIFTH CORNER ACADEMY
Child & Adolescent Psychiatry Physician
Active
Basic Information
- Organization Name
- FIFTH CORNER ACADEMY
- Enumeration Date
- October 30, 2019
- Last Update
- March 28, 2020
- Authorized Official
- MRS. ROXANNE FRANKLIN WILSON BA, QMHA, PSS
PRESIDENT/PROGRAM ADMINISTRATOR
Phone: (503) 714-6306
Practice Location
- Address
- 1900 NE HIGHWAY 99W STE K
MCMINNVILLE, OR 971282757 - Phone
- (503) 472-4511
- Fax
- (503) 714-6306
Mailing Address
- Address
- 650 NE 2ND ST UNIT 133
MCMINNVILLE, OR 971284762 - Phone
- (503) 472-4511
- Fax
- (503) 714-6306
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Mental Health Counselor Mental Health | 101YM0800X | Counselor | N/A | N/A | No |
| Nutrition Education Nutritionist Nutrition, Education | 133NN1002X | Nutritionist | N/A | N/A | No |
| Registered Nurse | 163W00000X | Registered Nurse | N/A | N/A | No |
| Case Manager/Care Coordinator | 171M00000X | Case Manager/Care Coordinator | N/A | N/A | No |
| Driver | 172A00000X | Driver | N/A | N/A | No |
| Research Study Specialist Research Study | 1744R1102X | Specialist | N/A | N/A | No |
| Health Educator | 174H00000X | Health Educator | N/A | N/A | No |
| Peer Specialist | 175T00000X | Peer Specialist | N/A | N/A | No |
| Prevention Professional | 405300000X | Prevention Professional | N/A | N/A | No |
| Child & Adolescent Psychiatry Physician Child & Adolescent Psychiatry | 2084P0804X | Psychiatry & Neurology | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851475099 | 05 | OR | N/A |
Additional Practice Locations
1900 NE Highway 99W Ste M
McMinnville, OR 971282757
McMinnville, OR 971282757
Phone: (503) 714-6306
Fax: (503) 714-6306
Frequently Asked Questions
What is FIFTH CORNER ACADEMY's NPI number?
FIFTH CORNER ACADEMY's NPI number is 1033753231.
Which doctor has NPI number 1033753231?
The doctor with NPI number 1033753231 is FIFTH CORNER ACADEMY.
What is FIFTH CORNER ACADEMY's practice address?
FIFTH CORNER ACADEMY's practice address is 1900 NE HIGHWAY 99W STE K, MCMINNVILLE, OR, 971282757.
Which doctor practices at 1900 NE HIGHWAY 99W STE K, MCMINNVILLE, OR, 971282757?
FIFTH CORNER ACADEMY practices at 1900 NE HIGHWAY 99W STE K, MCMINNVILLE, OR, 971282757.
What is FIFTH CORNER ACADEMY's mailing address?
FIFTH CORNER ACADEMY's mailing address is 650 NE 2ND ST UNIT 133, MCMINNVILLE, OR, 971284762.
What is FIFTH CORNER ACADEMY's phone number?
FIFTH CORNER ACADEMY's phone number is (503) 472-4511.
Who is (503) 472-4511?
(503) 472-4511 is the phone number for FIFTH CORNER ACADEMY.
What is FIFTH CORNER ACADEMY's specialty?
FIFTH CORNER ACADEMY's specialty is Child & Adolescent Psychiatry Physician.
What type of doctor is FIFTH CORNER ACADEMY?
FIFTH CORNER ACADEMY is a Child & Adolescent Psychiatry Physician.
Is FIFTH CORNER ACADEMY a Child & Adolescent Psychiatry?
Yes, FIFTH CORNER ACADEMY is a Child & Adolescent Psychiatry.
Is FIFTH CORNER ACADEMY still practicing?
Yes, FIFTH CORNER ACADEMY is currently practicing.
Is FIFTH CORNER ACADEMY accepting new patients?
FIFTH CORNER ACADEMY may be accepting new patients. Please call their office at (503) 472-4511 to inquire about availability.
Is NPI 1033753231 still active?
Yes, NPI 1033753231 is currently active.
Where does FIFTH CORNER ACADEMY practice?
FIFTH CORNER ACADEMY practices in MCMINNVILLE, OR.