Individual
ROBIN KENNETH ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
51 SW LEE ST, NEWPORT, OR 97365-3823
(541) 265-0445
(844) 760-0526
Mailing address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-0445
(844) 760-0526
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2807733501
UT
1041C0700X
Clinical Social Worker
Primary
L15377
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500843656
—
OR
Enumeration date
05/11/2022
Last updated
02/24/2026
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