Individual
ROBERT L TITCHENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
12360 E BURNSIDE ST, PORTLAND, OR 97233-1042
(971) 279-4800
(971) 279-2051
Mailing address
211 SE CARUTHERS ST, PORTLAND, OR 97214-4502
(503) 224-1044
(971) 260-0355
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102690
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2015186
—
WA
05
—
500635810
—
OR
Enumeration date
06/04/2007
Last updated
07/31/2025
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