DR. ROBERT LEE ROBERTS (NPI# 1649280371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649280371 |
Entity Type | Individual |
Full Name | DR. ROBERT LEE ROBERTS |
Credential | D.O. |
Practice Address |
9280 Se Sunnybrook Blvd Suite 300 Clackamas OR 97015-9353 |
Practice Telephone | 5032335548 |
Practice Fax Number | 5032301009 |
Mailing Telephone | 5032335548 |
Mailing Fax Number | 5032301009 |
Enumeration Date | 2006-08-08 |
Last Update Date | 2015-03-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
DO20647 | OR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 150377 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831716174 | Robert Edward Roberts Jr. | Counselor | 157 Ridgewood Dr, Camden, DE 19934-2372 | 2020-07-02 |
1538432125 | Robert E. Roberts | Internal Medicine | 2464 Black Fox Trail, East Point, GA 30344-6612 | 2012-02-14 |
1518083948 | Robert Theodore Roberts | Dentist | 632 Friars Point Rd, Clarksdale, MS 38614-9111 | 2007-03-21 |
1528150406 | Robert G. 'pete' Roberts | Marriage & Family Therapist | 829 Circle Dr, High Point, NC 27262-3511 | 2006-09-29 |
1093823528 | Robert P Roberts Jr. | Obstetrics & Gynecology | 781 Kenmoor Se, Grand Rapids, MI 49546-8624 | 2006-08-25 |
1396715744 | Robert S Roberts | Orthopaedic Surgery | 801 N Orange Ave Ste 600, Orlando, FL 32801-5202 | 2006-01-26 |
1437658689 | Robert Roberts IIi | Pharmacist | 26258 Pollard Rd, Daphne, AL 36526-4250 | 2018-02-02 |
1518406982 | Robert Roberts | Internal Medicine | 500 W Thomas Rd Ste 480, Phoenix, AZ 85013-4239 | 2017-02-18 |
1225408073 | Robert Meadows Roberts | Hearing Instrument Specialist | 110 Riley St, Gadsden, AL 35901-5432 | 2015-10-05 |
1265799712 | Robert Roberts | Counselor | 19 Union Sq W, 7th Floor, New York, NY 10003-3304 | 2012-04-20 |
Street Address |
9280 SE SUNNYBROOK BLVD SUITE 300 |
City | CLACKAMAS |
State | OR |
Zip Code | 97015-9353 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366435372 | Jamie R Zilverberg | Nurse Practitioner | 9280 Se Sunnybrook Blvd, Ste 200, Clackamas, OR 97015-6776 | 2005-08-24 |
1861825820 | Providence Health & Services - Oregon | Internal Medicine | 9280 Se Sunnybrook Blvd, Suite 200, Clackamas, OR 97015-9353 | 2013-08-14 |
1992059786 | Kevin James Still | Audiologist | 9280 Se Sunnybrook Blvd, Ste 300, Clackamas, OR 97015-9353 | 2012-11-01 |
1053649475 | Clackamas Radiation Oncology Center, LLC | Clinic/Center | 9280 Se Sunnybrook Blvd, Suite 100, Clackamas, OR 97015-6899 | 2009-11-23 |
1689836108 | Providence Health & Services - Oregon | Clinic/Center | 9280 Se Sunnybrook Blvd, Suite 200, Clackamas, OR 97015-6776 | 2008-06-26 |
1356548903 | Hillary Elizabeth Rachel Lowenstein | Psychiatry & Neurology | 9280 Se Sunnybrook Blvd, Suite 300, Clackamas, OR 97015-9353 | 2007-06-28 |
1447451794 | Shane O Rogosin | Internal Medicine | 9280 Se Sunnybrook Blvd, Ste 200, Clackamas, OR 97015-6776 | 2007-05-31 |
1972543106 | James Chan | Otolaryngology | 9280 Se Sunnybrook Blvd, Suite 300, Clackamas, OR 97015-9353 | 2006-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
Find all providers in zip 97015 |
Taxonomy Code | 207YX0905X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngology/Facial Plastic Surgery |
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699855437 | Dana Sainsbury Smith | Otolaryngology | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2006-10-16 |
1972543106 | James Chan | Otolaryngology | 9280 Se Sunnybrook Blvd, Suite 300, Clackamas, OR 97015-9353 | 2006-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841498300 | Richard K Huffaker | Otolaryngology | 1600 Nw Sixth Street, Grants Pass, OR 97526-1064 | 2007-07-06 |
1487679700 | Mark Stephen Robertson | Otolaryngology | 950 29th Ave Sw, Albany, OR 97321-3415 | 2006-07-13 |
1134461478 | Deniz Gerecci | Otolaryngology | 3181 Sw Sam Jackson Park Rd, Ohsu, Portland, OR 97239-3011 | 2013-03-25 |
1366572158 | Ear Nose and Throat Associates of Grants Pass PC | Otolaryngology | 1600 Nw 6th St, South Suite, Grants Pass, OR 97526-1094 | 2007-03-07 |
1205975588 | Mark S. Robertson, P.C. | Otolaryngology | 950 29th Ave Sw, Albany, OR 97321-3415 | 2007-02-05 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.