Individual
MR. PAUL ALEXANDER ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4525 3RD AVE SE, STE 200, LACEY, WA 98503-1010
(360) 754-3934
(360) 943-8023
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00026285
WA
207RH0003X
Hematology & Oncology Physician
Primary
MD00026285
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1150028
—
WA
Enumeration date
06/22/2005
Last updated
06/22/2021
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