Provider Demographics
NPI:1740322833
Name:ROBINSON, CHERYL LH (PT)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:LH
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16083 SW UPPER BOONES FERRY RD STE 300
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97224-7736
Mailing Address - Country:US
Mailing Address - Phone:800-219-8836
Mailing Address - Fax:503-639-9699
Practice Address - Street 1:14711 FRYELANDS BLVD SE STE 153
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272-2950
Practice Address - Country:US
Practice Address - Phone:360-794-4892
Practice Address - Fax:360-794-4679
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00006825225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8969338OtherMEDICARE
WA1017887Medicaid
WAG8969339OtherMEDICARE
WA8339947Medicaid
WAG8969337OtherMEDICARE
WAG8969339OtherMEDICARE