Healthcare Provider Details

I. General information

NPI: 1891075685
Provider Name (Legal Business Name): ROBIN D STEGER CADC II
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2011
Last Update Date: 01/22/2020
Certification Date: 01/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5415 SE MILWAUKIE AVE
PORTLAND OR
97202-4940
US

IV. Provider business mailing address

PO BOX 82819
PORTLAND OR
97282-0819
US

V. Phone/Fax

Practice location:
  • Phone: 503-233-5405
  • Fax: 503-233-2694
Mailing address:
  • Phone: 503-233-5405
  • Fax: 503-233-2694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number141116
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: