Provider Demographics
NPI:1114443439
Name:ROBBINS, HONEY GWENN (NP)
Entity Type:Individual
Prefix:
First Name:HONEY
Middle Name:GWENN
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:HONEY
Other - Middle Name:GWENN
Other - Last Name:ROBBINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 2927
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208-2927
Mailing Address - Country:US
Mailing Address - Phone:503-205-0820
Mailing Address - Fax:503-788-7286
Practice Address - Street 1:3231 SE 50TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97206
Practice Address - Country:US
Practice Address - Phone:503-788-7273
Practice Address - Fax:503-788-7289
Is Sole Proprietor?:No
Enumeration Date:2017-08-17
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95007077363LF0000X
WAAP60882869363LF0000X
OR201805739NP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily