Individual
ROBERT ALLEN SPERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMNHP
Contact information
Practice address
725 S WAHANNA RD, SEASIDE, OR 97138-7735
(503) 717-7000
(503) 717-7476
Mailing address
PO BOX 3397, PORTLAND, OR 97208-3397
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201350052NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NP-09069
OH
Other
Enumeration date
01/23/2008
Last updated
09/28/2020
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