Individual
PHOEBE NICOLE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16770 SW EDY RD STE 102, SHERWOOD, OR 97140
(503) 216-9600
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA174993
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500696192
—
OR
Enumeration date
09/12/2014
Last updated
10/02/2020
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