Provider Demographics
NPI:1386858397
Name:ROBBINS, DONNA L (PMHNP)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:L
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 725
Mailing Address - Street 2:
Mailing Address - City:NEOTSU
Mailing Address - State:OR
Mailing Address - Zip Code:97364-0725
Mailing Address - Country:US
Mailing Address - Phone:541-994-2735
Mailing Address - Fax:541-994-2791
Practice Address - Street 1:3015 NE WEST DEVILS LAKE RD
Practice Address - Street 2:
Practice Address - City:LINCOLN CITY
Practice Address - State:OR
Practice Address - Zip Code:97367
Practice Address - Country:US
Practice Address - Phone:503-437-5283
Practice Address - Fax:541-994-2791
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR096006963N6363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR096006963N6OtherSTATE LICENSE
OR108082Medicare UPIN