Provider Demographics
NPI:1528622529
Name:ROBINSON, ZACKORY HENRY
Entity type:Individual
Prefix:
First Name:ZACKORY
Middle Name:HENRY
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3044 W 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-6645
Mailing Address - Country:US
Mailing Address - Phone:503-586-6628
Mailing Address - Fax:
Practice Address - Street 1:398 HIGH ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2310
Practice Address - Country:US
Practice Address - Phone:541-344-1121
Practice Address - Fax:541-344-4210
Is Sole Proprietor?:No
Enumeration Date:2019-04-24
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health