Provider Demographics
NPI:1275758674
Name:ROBRECHT, TERENCE ANTHONY (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:TERENCE
Middle Name:ANTHONY
Last Name:ROBRECHT
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3142 SE 116TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97266-1719
Mailing Address - Country:US
Mailing Address - Phone:503-762-0347
Mailing Address - Fax:
Practice Address - Street 1:7080 SW FIR LOOP
Practice Address - Street 2:100
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-8149
Practice Address - Country:US
Practice Address - Phone:503-620-1191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL18531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical