Provider Demographics
NPI:1336472224
Name:ROBINSON, MICHELE
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33175 MCFARLAND RD
Mailing Address - Street 2:# 58
Mailing Address - City:TANGENT
Mailing Address - State:OR
Mailing Address - Zip Code:97389-9629
Mailing Address - Country:US
Mailing Address - Phone:541-602-2245
Mailing Address - Fax:
Practice Address - Street 1:33175 MCFARLAND RD
Practice Address - Street 2:# 58
Practice Address - City:TANGENT
Practice Address - State:OR
Practice Address - Zip Code:97389-9629
Practice Address - Country:US
Practice Address - Phone:541-602-2245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide