Individual provider Active NPI

Alexander Adonis Lee Robbinson, NREMT, PSS

  • Basic Emergency Medical Technician
  • Clackamas, OR
National Provider Identifier
1245997188
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
209615 Issued in OR
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

Updated by the provider on Jan 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
209615ORMDBasic Emergency Medical Technician
EMT.ES.61661393WAMDBasic Emergency Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Compassionate Care Consulting Peer Specialist CurrentSince May 4, 2023 Accepting new patients
Walgreen Co PastSince Dec 1, 2021 Accepting new patients
Walgreen Co PastSince Dec 1, 2021 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.

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.

Verify at the official NPI Registry.