Robin C. Blakeslee Smith, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

10871 Issued in OR

Practice address

12566 SW Main St
Tigard, OR 97223-6129

Phone

(503) 799-9543

NPI assigned

Dec 10, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1710216353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10440 SW PAULINA DR",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628550",
            "telephone_number": "503-267-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12566 SW MAIN ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236129",
            "telephone_number": "503-799-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKESLEE SMITH",
        "first_name": "ROBIN",
        "middle_name": "C.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-10",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "10871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Blais, L.AC.
• Christine Blake
• James Blake
• Maleka Kylin Blake
• Robert Travis Blake Jr.
• Holly Blalack
• Mary Louise Blankenship, RN, FNP, PMHNP-BC
• Allison Claire Blaskowsky, M.S., CF-SLP
• Milton Louis Blettel, MD
• Phoenix Horton-Holmes Blickle, R.N.

• Specialist in Tigard, OR
• Providers in Tigard, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.