Individual provider Active NPI

Robert Stanley Dobres, M.S.W., L.C.S.W.

  • Mental Health Counselor
  • Gresham, OR
National Provider Identifier
1801981766
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
L3310 Issued in OR
Practice address
Kaiser Permanente Eastman Parkway Office
1550 NW Eastman Parkway
Gresham, OR 97030
Phone
(503) 571-0777
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X L3310 OR Primary

Addresses

Primary practice location

Kaiser Permanente Eastman Parkway Office
1550 NW Eastman Parkway
Gresham, OR 97030

Mailing address

Kaiser Permanente Eastman Parkway Office
1550 NW Eastman Parkway
Gresham, OR 97030
Phone (503) 571-0777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2020 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L3310ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1801981766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KAISER PERMANENTE EASTMAN PARKWAY OFFICE",
            "address_2": "1550 NW EASTMAN PARKWAY",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "97030",
            "telephone_number": "503-571-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KAISER PERMANENTE EASTMAN PARKWAY OFFICE",
            "address_2": "1550 NW EASTMAN PARKWAY",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "97030",
            "telephone_number": "503-571-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBRES",
        "first_name": "ROBERT",
        "middle_name": "STANLEY",
        "name_prefix": "Mr.",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "L3310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

Verify at the official NPI Registry.