Healthcare Provider Details

I. General information

NPI: 1386569242
Provider Name (Legal Business Name): ROBYN ALPER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11611 NE AINSWORTH CIR
PORTLAND OR
97220-9017
US

IV. Provider business mailing address

4904 SE HENRY ST
PORTLAND OR
97206-6952
US

V. Phone/Fax

Practice location:
  • Phone: 503-257-1732
  • Fax:
Mailing address:
  • Phone: 503-577-0035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number20094160RN
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: