Provider Demographics
NPI:1982991584
Name:GARBER, ROBERT WILLIAM (LCSW)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:WILLIAM
Last Name:GARBER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8815 SW COMANCHE CT
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-7909
Mailing Address - Country:US
Mailing Address - Phone:503-515-9391
Mailing Address - Fax:
Practice Address - Street 1:14511 WESTLAKE DR STE 120
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-7773
Practice Address - Country:US
Practice Address - Phone:503-451-4770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-02
Last Update Date:2020-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL41001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical