Individual
GERALD LEE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
2415 SE 43RD AVE, PORTLAND, OR 97206-1600
(503) 230-9654
Mailing address
1900 FORT VANCOUVER WAY, APT 406, VANCOUVER, WA 98663-3500
(503) 916-9875
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/18/2007
Last updated
07/18/2008
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