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NPI Code Detail

MEDICARE: MR. RODNEY ROBBINS MA LPC, CADC III

MEDICARE: MR. RODNEY ROBBINS MA LPC, CADC III
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor98-04-32OR
2101YP2500XProfessional CounselorC4473OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C4473OTHERORLPC
298-04-32OTHERORCADC #
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326003898
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RODNEY ROBBINS MA LPC, CADC III
Provider Business Mailing Address
First Line : 120 N EVEREST ST STE A
Second Line :
City : NEWBERG
State : OR
Zip : 97132-2116
Country : US
Telephone Number : 503-538-7647
Fax Number : 503-538-9015
Provider Business Practice Location Address
First Line : 120 N EVEREST ST STE A
Second Line :
City : NEWBERG
State : OR
Zip : 97132-2116
Country : US
Telephone Number : 503-538-7647
Fax Number : 503-538-9015
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 04/13/2017

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