John D. Atkinson III, Ph.D.
Psychologist in Corvallis, OR. Individual provider (NPI-1).
NPI number1528107679
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1528107679
- Entity type
- Individual (NPI-1)
- Name
- John D. Atkinson III
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 5, 2007
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 545 | OR | Yes |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 545 | OR | |
| 103TF0000X | Psychologist, Family | 545 | OR |
Practice location
744 Nw 4th StCorvallis, OR 97330-6415
Phone 541-752-7175 · Fax 541-752-0956
Mailing address
3939 Nw Clarence CirCorvallis, OR 97330-6548
Phone 541-752-7175 · Fax 541-752-0956
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