Provider Demographics
NPI:1922573088
Name:ROBINSON, DANIEL NORMAN (QMHA, CADC-R)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:NORMAN
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:QMHA, CADC-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 CENTENNIAL LOOP STE A
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-7900
Mailing Address - Country:US
Mailing Address - Phone:415-393-0777
Mailing Address - Fax:
Practice Address - Street 1:1040 OAK ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3132
Practice Address - Country:US
Practice Address - Phone:541-393-0777
Practice Address - Fax:541-342-7132
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-04
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR122994Medicaid