Individual
MINDI L ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9290 SE SUNNYBROOK BLVD, SUITE 120, CLACKAMAS, OR 97015-6899
(503) 215-2110
(503) 215-2115
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD26164
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026838
—
OR
01
—
P00337428
RR MEDICARE
OR
Enumeration date
06/08/2006
Last updated
11/02/2012
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