Fifth Corner Academy
NPI 1033753231 · Child & Adolescent Psychiatry Physician · Mcminnville, OR
Provider details
- NPI number
- 1033753231
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roxanne Wilson, President/Program Administrator(503) 714-6306
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Nutrition Education Nutritionist133NN1002X
Dietary & Nutritional Service Providers
- Registered Nurse163W00000X
Nursing Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
- Driver172A00000X
Other Service Providers
- Research Study Specialist1744R1102X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Fifth Corner Community Services
Additional practice locations (1)
- 1900 Ne Highway 99w Ste MMcminnville, OR 97128-2757Phone: (503) 714-6306Fax: (503) 714-6306
Registry dates
- Enumerated
- 2019-10-30
- Last updated
- 2020-03-28
- Certified
- 2020-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.