Kyle Robbins is a Peer Specialist based in Portland, OR. Kyle Robbins practices in Portland, OR. The NPI Number for Kyle Robbins is 1437611977 and holds a License No. 18-CRM-226 (Oregon).
The current practice location address for Kyle Robbins is 173 Ne 102Nd Ave, Portland, OR and can be reached out via phone at 503-906-9995.
Location: 173 Ne 102Nd Ave, Portland, OR, 97220-4169
Provider Profile Details
NPI Number
1437611977
Provider Name
Kyle Robbins
Credential
Provider Entity Type
Individual
Gender
Male
Address
173 Ne 102Nd Ave, Portland, OR, 97220-4169
Phone Number
503-906-9995
Fax Number
Provider Enumeration Date
04/03/2019
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083010094 | 05 | OR |
Provider Business Practice Location Address Details
Address
173 Ne 102Nd Ave
City
State
Zip
97220-4169
Phone Number
503-906-9995
Fax Number
Provider Business Mailing Address Details
Address
173 Ne 102Nd Ave
City
State
Zip
97220-4169
Phone Number
503-906-9995
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
18-CRM-226 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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