Provider Demographics
NPI:1316060866
Name:FLEMING, GEORGE ROBERT (PHD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:ROBERT
Last Name:FLEMING
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 N 10TH AVE
Mailing Address - Street 2:UNIT 81
Mailing Address - City:CORNELIUS
Mailing Address - State:OR
Mailing Address - Zip Code:97113-9301
Mailing Address - Country:US
Mailing Address - Phone:503-757-5409
Mailing Address - Fax:
Practice Address - Street 1:247 SE WASHINGTON ST
Practice Address - Street 2:SUITE 100
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4169
Practice Address - Country:US
Practice Address - Phone:503-352-3201
Practice Address - Fax:503-357-9875
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health