Individual
PAULINE ANN ROBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4035 NE SANDY BLVD, PORTLAND, OR 97212-5331
(971) 940-2601
(971) 275-1534
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L10495
OR
Other
Enumeration date
09/26/2017
Last updated
07/08/2021
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