Healthcare Provider Details

I. General information

NPI: 1013848100
Provider Name (Legal Business Name): ROBIN BECKMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12345 SW HORIZON BLVD STE 57
BEAVERTON OR
97007-9475
US

IV. Provider business mailing address

22385 SW SAXON PL
SHERWOOD OR
97140-8260
US

V. Phone/Fax

Practice location:
  • Phone: 503-216-8820
  • Fax:
Mailing address:
  • Phone: 503-216-8820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number201709354RN
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: