Provider Demographics
NPI:1447430897
Name:GECK, ROBIN GRACE (QMHA)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:GRACE
Last Name:GECK
Suffix:
Gender:F
Credentials:QMHA
Other - Prefix:MISS
Other - First Name:ROBIN
Other - Middle Name:
Other - Last Name:KLINK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 738
Mailing Address - Street 2:
Mailing Address - City:CARLTON
Mailing Address - State:OR
Mailing Address - Zip Code:97111-0738
Mailing Address - Country:US
Mailing Address - Phone:503-803-1158
Mailing Address - Fax:
Practice Address - Street 1:3000 MARKET ST NE
Practice Address - Street 2:SUITE 530
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-1882
Practice Address - Country:US
Practice Address - Phone:503-390-5637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor