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Individual

MR. RODERICK J ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
QMHA

Contact information

Practice address
412 SW 12TH AVE, PORTLAND, OR 97205-2329
(503) 228-7134
Mailing address
3624 SE 40TH AVE, PORTLAND, OR 97202-1770
(503) 516-2053

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
02/12/2007
Last updated
07/08/2007
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