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NPI Code Detail

MEDICARE: ROBERT SPECK CRM

MEDICARE:   ROBERT  SPECK  CRM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer Specialist20-CRM-023OR

General Provider Information

NPI Number : 1386274041
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT SPECK CRM
Provider Business Mailing Address
First Line : 900 MAIN ST
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-1834
Country : US
Telephone Number : 503-465-2749
Fax Number :
Provider Business Practice Location Address
First Line : 900 MAIN ST
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-1834
Country : US
Telephone Number : 503-465-2749
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2020
Last Update Date : 01/22/2020

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Directions to “ ROBERT SPECK CRM” Practice Location

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