Natasha Wong, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1475 Issued in OR

Legal business name

NATASHA WONG, P.C.

Practice address

1271 NE Highway 99W # 169
McMinnville, OR 97128-2720

Phone

(503) 560-9828

NPI assigned

Jan 24, 2007

Last updated

Jan 3, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Natasha A.E. Wong, PSY.D.NPI 1134677305

Title

President

Phone

(503) 560-9828

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Natasha Wong, PSY.D.

  • Clinical Psychologist
  • McMinnville, OR
  • NPI 1134677305
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1336294214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 NE HIGHWAY 99W",
            "address_2": "#169",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971282720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 NE HIGHWAY 99W # 169",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971282720",
            "telephone_number": "503-560-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATASHA WONG, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_middle_name": "A.E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-560-9828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.