Individual
MR. ROBIN LOUIS PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
409 NW 2ND AVE STE B, CANBY, OR 97013-3517
(503) 266-1407
(503) 266-1849
Mailing address
409 NW 2ND AVE STE B, CANBY, OR 97013-3517
(503) 266-1407
(503) 266-1849
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200150158NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500668332
—
OR
01
—
731642750
TAX IDENTIFICATION NUMBER
OR
Enumeration date
03/24/2007
Last updated
11/02/2018
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