Individual
MR. MATT JEREMY ROBBINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
412 SW 12TH AVE, PORTLAND, OR 97205-2329
(503) 228-7134
(503) 944-2595
Mailing address
7927 SE 17TH AVE, PORTLAND, OR 97202-6714
(503) 228-7134
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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