Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fifth Corner Academy

Organization Mental Health Counselor · NPI 1033753231

Fifth Corner Academy is a Mental Health Counselor in McMinnville, Oregon. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
10
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Practice location Address checks out

1900 NE Highway 99W Ste K
McMinnville, OR 97128-2757
Phone: (503) 472-4511
Fax: (503) 714-6306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1900 Ne Highway 99w Ste M, McMinnville, OR 97128-2757 — (503) 714-6306

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X
Mental Health Counselor Taxonomy 101YM0800X
Nutrition Education Nutritionist Taxonomy 133NN1002X
Registered Nurse Taxonomy 163W00000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Driver Taxonomy 172A00000X
Research Study Specialist Taxonomy 1744R1102X
Health Educator Taxonomy 174H00000X
Peer Specialist Taxonomy 175T00000X
Prevention Professional Taxonomy 405300000X

Record details

NPI number1033753231
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roxanne Wilson — President/Program Administrator · (503) 714-6306
Other names Fifth Corner Community Services
NPI enumeratedOctober 30, 2019
Last updated in NPPESMarch 28, 2020
Certification dateMarch 28, 2020
Mailing address650 Ne 2nd St Unit 133, McMinnville, OR 97128-4762

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