Individual
NICHOLE LASHE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 SW MARLOW AVE STE 200, PORTLAND, OR 97225-5102
(971) 248-2395
Mailing address
912 NE 91ST AVE APT 2, PORTLAND, OR 97220-5757
(253) 961-2237
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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