MEDICARE: DR. NIKOLAS ROBINS MD

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
1	207R00000X	Internal Medicine Physician	MD61471775	WA

General Provider Information

NPI Number	:	1336552751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NIKOLAS ROBINS MD

Provider Business Mailing Address
First Line	:	PO BOX 3777
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97208-3777
Country	:	US
Telephone Number	:	503-413-3900
Fax Number	:	503-413-3710

Provider Business Practice Location Address
First Line	:	601 N 34TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-8603
Country	:	US
Telephone Number	:	888-926-9385
Fax Number	:	206-260-5767

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2014
Last Update Date	:	10/21/2024

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