Provider Demographics
NPI:1992770937
Name:VOLKMANN, ROBERT MICHAEL (MD)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:MICHAEL
Last Name:VOLKMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 RUMSEY ROAD NW
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OK
Mailing Address - Zip Code:97304-3609
Mailing Address - Country:US
Mailing Address - Phone:503-588-0734
Mailing Address - Fax:503-588-2914
Practice Address - Street 1:860 RUMSEY ROAD NW
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OK
Practice Address - Zip Code:97304-3609
Practice Address - Country:US
Practice Address - Phone:503-588-0734
Practice Address - Fax:503-588-2914
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR13828207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR124479Medicaid
0000BKBZRMedicare ID - Type Unspecified
OR124479Medicaid