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Individual

MR. MICHAEL SCOTT ROBINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
1355 N UNIVERSITY AVE STE 130, PROVO, UT 84604-2721
(801) 704-7001
(801) 210-7012
Mailing address
732 N MAIN ST, SPRINGVILLE, UT 84663-1034
(801) 704-7001
(801) 210-7012

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201393323NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
6594212-4405
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1407812365
GROUP NPI NORTH BEND MEDICAL CENTER
OR
01
161133
GROUP MEDICAID NORTH BEND MEDICAL CENTER
OR
01
201393322NP-PP
OREGON LICENSE
OR
05
500664077
OR
01
93-0635514
GROUP TAX FOR BILLING NORTH BEND MEDICAL CENTER
OR
01
R0000WFBTV
GROUP MEDICARE NORTH BEND MEDICAL CENTER
OR
Enumeration date
09/26/2013
Last updated
04/14/2026
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