Provider Demographics
NPI:1194838896
Name:TRIEBOLD, ROBYN LYNN (PA-C)
Entity Type:Individual
Prefix:MS
First Name:ROBYN
Middle Name:LYNN
Last Name:TRIEBOLD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:11200 SW MURRAY SCHOLLS PL
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007-9702
Mailing Address - Country:US
Mailing Address - Phone:800-813-2000
Mailing Address - Fax:503-590-2211
Practice Address - Street 1:11200 SW MURRAY SCHOLLS PL
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97007-9702
Practice Address - Country:US
Practice Address - Phone:800-813-2000
Practice Address - Fax:503-590-2211
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OROR PA00619363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical