Most Relevant Information
Provider Data
NPI Number: | 1003217662 |
Provider Name: | PHOEBE NICOLE ROBINSON PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | PA174993 |
Most Important Dates
Enumeration Date: | 09/12/2014 |
Last Updated: | 10/02/2020 |
Provider Practice Location
16770 SW EDY RD STE 102
SHERWOOD
OR
97140
Practice Location Phone/Fax
Phone: | 5032169600 |
Fax: |
Provider Mailing Location
PO BOX 3158
PORTLAND
OR
972083158
Provider Mailing Phone/Fax
Phone: | |
Fax: |