ROBERT MAYER

GRESHAM, OR
NPI1154753457
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: OR  201504149NP-PP)
Additional Taxonomies363LP2300X Nurse Practitioner, Primary Care
(Licence: MA  RN2275111)
363LP2300X Nurse Practitioner, Primary Care
(Licence: OR  201504149NP-PP)
Enumeration Date2013-08-08
Last Update Date2016-01-05
Business Address
-- ROBERT MAYER AGPCNP
440 NW DIVISION ST
GRESHAM, OR 97030-5506
Phone number: 503-215-9500
Mailing Address
-- ROBERT MAYER AGPCNP
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: