Individual
DR. ROBERT POE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1133 NW 21ST AVE, SUITE 204, PORTLAND, OR 97209-1513
(503) 957-2497
Mailing address
PO BOX 96036, PORTLAND, OR 97296-6000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2223
OR
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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