Provider Demographics
NPI:1265311062
Name:STRAIN, ROB (CRM)
Entity type:Individual
Prefix:MR
First Name:ROB
Middle Name:
Last Name:STRAIN
Suffix:
Gender:M
Credentials:CRM
Other - Prefix:MR
Other - First Name:ROB
Other - Middle Name:
Other - Last Name:STRAIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRM
Mailing Address - Street 1:4713 N ALBINA AVE # 301
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-2605
Mailing Address - Country:US
Mailing Address - Phone:503-707-9771
Mailing Address - Fax:
Practice Address - Street 1:4713 N ALBINA AVE # 301
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-2605
Practice Address - Country:US
Practice Address - Phone:503-707-9771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR25-CRM-4269101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)