Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD181852 | OR |
N | 111NI0900X | Internist | MD181852 | OR |
N | 207RC0200X | Critical Care Medicine | MD181852 | OR |
Y | 207RP1001X | Pulmonary Disease | MD181852 | OR |
NPI | 1053587816 |
---|---|
Provider Name | Jeffrey Craig Robinson |
First Address | Portland, OR 97239-3011 |
Second Address | Portland, OR 97239-3011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2008 |
Last Update Date | 31/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2078294 | (05) | WA |
500724452 | (05) | OR |