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NPI Code Detail

MEDICARE: MS. ROBIN L PAISLEY RN

MEDICARE: MS. ROBIN L PAISLEY RN
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
1163WP0808XPsychiatric/Mental Health Registered NurseOR
2163WC1500XCommunity Health Registered NurseOR

General Provider Information

NPI Number : 1912008954
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROBIN L PAISLEY RN
Provider Business Mailing Address
First Line : 9931 N DECATUR ST
Second Line :
City : PORTLAND
State : OR
Zip : 97203-2819
Country : US
Telephone Number : 503-260-5241
Fax Number : 503-528-0767
Provider Business Practice Location Address
First Line : 2330 NE SISKIYOU ST
Second Line :
City : PORTLAND
State : OR
Zip : 97212-2471
Country : US
Telephone Number : 503-528-0757
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 04/09/2008

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Directions to “ MS. ROBIN L PAISLEY RN” Practice Location

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