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NPI 1831053909

NPI 1831053909 : ROBIN ROSENBERG : TIGARD, OR

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General NPI Number Information
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    NPI Number           |    1831053909
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    Entity Type          |    Individual 
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    Provider Name        |    ROBIN ROSENBERG
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/12/2025
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    Last Update Date     |    12/12/2025
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Provider Practice Location Address
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    Address Line         |    7320 SW HUNZIKER RD STE 201 
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    City                 |    TIGARD
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    State                |    OR
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    Zip                  |    97223-2301
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    Country              |    US
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    Telephone            |    503-778-0787
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    153 DEER POINT RD 
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    City                 |    OLGA
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    State                |    WA
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    Zip                  |    98279-9523
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    Country              |    US
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    Telephone            |    503-984-9623
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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