MEDICARE: ROBIN REBECCA HINCKLEY MSN, APRN, FNP-BC

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	363LF0000X	Family Nurse Practitioner	10061189	OR

General Provider Information

NPI Number	:	1568395705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN REBECCA HINCKLEY MSN, APRN, FNP-BC

Provider Business Mailing Address
First Line	:	615 SE BRIDGEWAY AVE
Second Line	:
City	:	CORVALLIS
State	:	OR
Zip	:	97333-1230
Country	:	US
Telephone Number	:	253-414-2653
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 W FORT ST
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83702-4501
Country	:	US
Telephone Number	:	208-422-1000
Fax Number	:

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

Provider Enumeration Date	:	06/06/2026
Last Update Date	:	06/06/2026

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