| NPI | 1336401017 |
|---|---|
| Other Name | WAKE ROBIN |
| Entity Type | Organization |
| Authorized Contact | SUZY VENZKE Sr Manager Of Billing Services 503-205-4362 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2025-07-22 |