Active NPI
Alexander Adonis Lee Robbinson, NREMT, PSS
- Basic Emergency Medical Technician
- Clackamas, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 209615
- Practice address
- 11785 SE Highway 212 Ste 309
Clackamas, OR 97015-9050 - Phone
- (503) 714-7976
- Fax
- (503) 926-9302
- NPI assigned
- Nov 28, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 209615 | OR | Primary |
| Peer Specialist | 175T00000X | OR | ||
| Basic Emergency Medical Technician | 146N00000X | EMT.ES.61661393 | WA |
Addresses
Primary practice location
11785 SE Highway 212 Ste 309
Clackamas, OR 97015-9050
Mailing address
11785 SE Highway 212 Ste 309
Clackamas, OR 97015-9050
Phone (503) 714-7976
Other practice location 1
1021 Columbia Blvd
Longview, WA 98632-1024
Phone (503) 861-1990
Other practice location 2
920 SW 6th Ave
Portland, OR 97204-1239
Phone (503) 714-7976
Other practice location 3
5475 NE Dawson Creek Dr
Hillsboro, OR 97124-5797
Phone (503) 648-6658
Other practice location 4
830 NE Holladay St
Portland, OR 97232-2104
Phone (503) 714-7976
Other names 1
- Mr. Alexander Adonis-Lee Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209615 | OR | MD | Basic Emergency Medical Technician |
| EMT.ES.61661393 | WA | MD | Basic Emergency Medical Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Compassionate Care Consulting | Peer Specialist | Current | Accepting new patients |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
830 NE Holladay St
Portland, OR 97232
Phone (310) 331-0077
920 SW 6th Ave
Portland, OR 97204
Phone (503) 714-7976
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Peer Specialist
- Portland, OR
- NPI 1326736083
-
- Pharmacy
- Portland, OR
- NPI 1326053315
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1245997188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11785 SE HIGHWAY 212 STE 309",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970159050",
"telephone_number": "503-714-7976",
"fax_number": "503-926-9302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11785 SE HIGHWAY 212 STE 309",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970159050",
"telephone_number": "503-714-7976",
"fax_number": "503-926-9302"
}
],
"practiceLocations": [
{
"address_1": "1021 Columbia Blvd",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "WA",
"postal_code": "986321024",
"country_code": "US",
"telephone_number": "503-861-1990",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "920 SW 6th Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972041239",
"country_code": "US",
"telephone_number": "503-714-7976",
"fax_number": "503-506-6472",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5475 NE Dawson Creek Dr",
"address_purpose": "LOCATION",
"city": "Hillsboro",
"state": "OR",
"postal_code": "971245797",
"country_code": "US",
"telephone_number": "503-648-6658",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "830 NE Holladay St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972322104",
"country_code": "US",
"telephone_number": "503-714-7976",
"fax_number": "503-506-6472",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBBINSON",
"first_name": "ALEXANDER",
"middle_name": "ADONIS LEE",
"name_prefix": "Mr.",
"credential": "NREMT, PSS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-28",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "OR",
"license": "209615",
"primary": true
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "WA",
"license": "EMT.ES.61661393",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXANDER",
"last_name": "JOHNSON",
"middle_name": "ADONIS-LEE",
"prefix": "MR.",
"credential": "NREMT, PSS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.