Healthcare Provider Details

I. General information

NPI: 1134086887
Provider Name (Legal Business Name): ROBIN S HANSTEEN-IZORA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22018 S CENTRAL POINT RD
CANBY OR
97013-8705
US

IV. Provider business mailing address

1025 SE 11TH AVE APT 506
PORTLAND OR
97214-2482
US

V. Phone/Fax

Practice location:
  • Phone: 503-221-4531
  • Fax: 866-485-6741
Mailing address:
  • Phone: 503-840-8790
  • Fax: 503-840-8790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: