Provider Demographics
NPI:1073314373
Name:FIRTH, ROBIN (RN BSN)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:FIRTH
Suffix:
Gender:
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4702 SW DOSCH PARK LN
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-1284
Mailing Address - Country:US
Mailing Address - Phone:503-209-4562
Mailing Address - Fax:
Practice Address - Street 1:10149 SW BARBUR BLVD STE B
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-5918
Practice Address - Country:US
Practice Address - Phone:503-209-4562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-22
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR094003274RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse