Provider Demographics
NPI:1245744911
Name:LOXLEY, ROBYN KANNASTO (LPCI)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:KANNASTO
Last Name:LOXLEY
Suffix:
Gender:F
Credentials:LPCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9880 SE AMARILLO RD
Mailing Address - Street 2:
Mailing Address - City:PRINEVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97754-9454
Mailing Address - Country:US
Mailing Address - Phone:503-412-8554
Mailing Address - Fax:
Practice Address - Street 1:2659 SW 4TH ST STE 110
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-6406
Practice Address - Country:US
Practice Address - Phone:541-904-5216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-16
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor