Healthcare Provider Details

I. General information

NPI: 1073231858
Provider Name (Legal Business Name): ROBINSON CLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2022
Last Update Date: 01/06/2023
Certification Date: 01/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 JOHN ADAMS ST
OREGON CITY OR
97045-1955
US

IV. Provider business mailing address

702 JOHN ADAMS ST
OREGON CITY OR
97045-1955
US

V. Phone/Fax

Practice location:
  • Phone: 503-851-1814
  • Fax:
Mailing address:
  • Phone: 503-851-1814
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0800X
TaxonomyRecovery Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE RACHEL ROBINSON
Title or Position: OWNER, NURSE-MIDWIFE
Credential: NP, CNM
Phone: 503-851-1814