Individual
ROBERT A MAIRS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1050 SW 3RD AVE STE 3200, ONTARIO, OR 97914-4560
(541) 881-2325
(208) 914-6701
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DO20644
OR
207VG0400X
Gynecology Physician
DO20644
OR
207VG0400X
Gynecology Physician
O-186
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804163300
—
ID
Enumeration date
11/28/2005
Last updated
09/23/2025
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