Provider Demographics
NPI:1912232091
Name:SPIEGEL, ROBERT (RN, BSN, CHPN)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:SPIEGEL
Suffix:
Gender:M
Credentials:RN, BSN, CHPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26020 SW CANYON CREEK RD APT 301
Mailing Address - Street 2:
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-7620
Mailing Address - Country:US
Mailing Address - Phone:503-454-0932
Mailing Address - Fax:
Practice Address - Street 1:26020 SW CANYON CREEK RD APT 301
Practice Address - Street 2:
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-7620
Practice Address - Country:US
Practice Address - Phone:503-454-0932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-07
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR076037061RN163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice