Individual
NICOLE ROBISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
1305 HILL ST SE, ALBANY, OR 97322-6711
(541) 609-1775
Mailing address
1160 FRANKLIN ST, LEBANON, OR 97355-3905
(541) 609-1775
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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