Provider Demographics
NPI:1366749236
Name:CHRISTENSEN, CAYLE ADAIR ROBBINS (MSW)
Entity type:Individual
Prefix:MR
First Name:CAYLE
Middle Name:ADAIR ROBBINS
Last Name:CHRISTENSEN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14815 SE DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97236-2336
Mailing Address - Country:US
Mailing Address - Phone:503-595-2775
Mailing Address - Fax:503-761-7917
Practice Address - Street 1:14815 SE DIVISION ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97236-2336
Practice Address - Country:US
Practice Address - Phone:503-595-2775
Practice Address - Fax:503-761-7917
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-11
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional