Provider Demographics
NPI:1922371574
Name:ADKINS, ROBIN ANNETTE (RPH)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:ANNETTE
Last Name:ADKINS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1727 SW ODEM MEDO RD
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-9573
Mailing Address - Country:US
Mailing Address - Phone:541-923-7223
Mailing Address - Fax:541-923-7228
Practice Address - Street 1:1727 SW ODEM MEDO RD
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-9573
Practice Address - Country:US
Practice Address - Phone:541-923-7223
Practice Address - Fax:541-923-7228
Is Sole Proprietor?:No
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR7913183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR7913OtherSTATE PHARMACIST LICENSE