Provider Demographics
NPI:1710930342
Name:ROBINSON, JULIE K (LMT)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:K
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:823 NE BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-1215
Mailing Address - Country:US
Mailing Address - Phone:503-892-8787
Mailing Address - Fax:503-282-9869
Practice Address - Street 1:823 NE BROADWAY ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-1215
Practice Address - Country:US
Practice Address - Phone:503-892-8787
Practice Address - Fax:503-282-9869
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist