Robert Snyder Garvan, RN
Registered Nurse, Psych/Mental Health in Portland, OR. Individual provider (NPI-1).
NPI number1720397367
StatusActive
Last updated in NPPESJan 23, 2025
Details
- NPI
- 1720397367
- Entity type
- Individual (NPI-1)
- Name
- Mr. Robert Snyder Garvan
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2010
- Certification date
- Jan 23, 2025
- Last updated
- Jan 23, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | 201604952RN | OR | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 201604952RN | OR |
Practice location
847 Ne 19th Ave Ste 100Portland, OR 97232-2684
Phone 215-387-6055 · Fax 215-987-7989
Mailing address
Po Box 8459Portland, OR 97207-8459
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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