Healthcare Provider Details

I. General information

NPI: 1912008954
Provider Name (Legal Business Name): ROBIN L PAISLEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 04/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2330 NE SISKIYOU ST
PORTLAND OR
97212-2471
US

IV. Provider business mailing address

9931 N DECATUR ST
PORTLAND OR
97203-2819
US

V. Phone/Fax

Practice location:
  • Phone: 503-528-0757
  • Fax:
Mailing address:
  • Phone: 503-260-5241
  • Fax: 503-528-0767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: