Provider Demographics
NPI:1568448231
Name:ROBINETTE, CHRISTINE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:
Last Name:ROBINETTE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:CHRIS
Other - Middle Name:
Other - Last Name:ROBINETTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:3878 BEVERLY AVE NE
Mailing Address - Street 2:#1
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97305-1394
Mailing Address - Country:US
Mailing Address - Phone:503-363-7181
Mailing Address - Fax:
Practice Address - Street 1:3878 BEVERLY AVE NE
Practice Address - Street 2:#1
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97305-1394
Practice Address - Country:US
Practice Address - Phone:503-363-7181
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR9171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical