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NPI Code Detail

MEDICARE: ROBBIN BANNIGAN WALSH COCHRAN SOCIAL WORKER

MEDICARE: ROBBIN BANNIGAN WALSH COCHRAN SOCIAL WORKER
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
1104100000XSocial Worker9543-MAR
21041C0700XClinical Social WorkerL16342OR

General Provider Information

NPI Number : 1659997260
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBBIN BANNIGAN WALSH COCHRAN SOCIAL WORKER
Provider Business Mailing Address
First Line : 6411 SE 58TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97206-6711
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3710 SW US VETERANS HOSPITAL RD
Second Line :
City : PORTLAND
State : OR
Zip : 97239-2964
Country : US
Telephone Number : 503-220-8262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2020
Last Update Date : 02/02/2026

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