Provider Demographics
NPI:1043827975
Name:MCKINNEY, JULIE BETH KRETSCHMAR (DNP)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:BETH KRETSCHMAR
Last Name:MCKINNEY
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4826 ABRAHAM AVE NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-0893
Mailing Address - Country:US
Mailing Address - Phone:706-463-9940
Mailing Address - Fax:
Practice Address - Street 1:13300 NEW AIRPORT RD STE 100
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95602-7407
Practice Address - Country:US
Practice Address - Phone:503-889-8780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-24
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95026907363LP0808X, 363LF0000X
OR202007637NP-PP363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily