Provider Demographics
NPI:1053458513
Name:RHINEWINE, JOSEPH P (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:P
Last Name:RHINEWINE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CENTERPOINTE DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-8623
Mailing Address - Country:US
Mailing Address - Phone:503-977-0400
Mailing Address - Fax:503-619-0076
Practice Address - Street 1:1 CENTERPOINTE DR
Practice Address - Street 2:SUITE 110
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-8623
Practice Address - Country:US
Practice Address - Phone:503-977-0400
Practice Address - Fax:503-619-0076
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1754103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical