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Individual

DR. ROBERT LEE ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
9280 SE SUNNYBROOK BLVD, SUITE 300, CLACKAMAS, OR 97015-9353
(503) 233-5548
(503) 230-1009
Mailing address
9280 SE SUNNYBROOK BLVD, SUITE 300, CLACKAMAS, OR 97015-9353
(503) 233-5548
(503) 230-1009

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
DO20647
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150377
OR
Enumeration date
08/08/2006
Last updated
03/18/2015
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