Provider Demographics
NPI:1245517135
Name:TOBAR, ROBI J (LPCA)
Entity type:Individual
Prefix:MS
First Name:ROBI
Middle Name:J
Last Name:TOBAR
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:
Other - Last Name:FERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6647 SE MILWAUKIE AVE STE B210
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-5661
Mailing Address - Country:US
Mailing Address - Phone:503-330-3515
Mailing Address - Fax:
Practice Address - Street 1:6647 SE MILWAUKIE AVE STE B210
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-5661
Practice Address - Country:US
Practice Address - Phone:503-330-3515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-07
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner