Healthcare Provider Details

I. General information

NPI: 1013293893
Provider Name (Legal Business Name): ROBIN ELIZABETH CYPHERS LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2011
Last Update Date: 05/24/2022
Certification Date: 05/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 OVERLOOK DR
LAKE OSWEGO OR
97034-6605
US

IV. Provider business mailing address

1200 OVERLOOK DR
LAKE OSWEGO OR
97034-6605
US

V. Phone/Fax

Practice location:
  • Phone: 503-348-2265
  • Fax: 503-636-4583
Mailing address:
  • Phone: 503-348-2265
  • Fax: 503-636-4583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC209789
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number15234
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: