Active NPI
Robert Stanley Dobres, M.S.W., L.C.S.W.
- Mental Health Counselor
- Gresham, OR
National Provider Identifier
1801981766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- L3310
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| L3310 | OR | MD | Mental 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.