Dr. Anne K Robertson, Ph.D
Psychologist, Counseling in Portland, OR. Individual provider (NPI-1).
NPI number1801019641
StatusActive
Last updated in NPPESAug 8, 2025
Details
- NPI
- 1801019641
- Entity type
- Individual (NPI-1)
- Name
- Dr. Anne K Robertson
- Credential
- Ph.D
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 10, 2007
- Certification date
- Aug 8, 2025
- Last updated
- Aug 8, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- Medicare opt-out
- Dec 13, 2018 to Dec 13, 2026
- 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 |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | 1382 | OR | Yes |
Practice location
959 Se Division St Ste 315Portland, OR 97214-4673
Phone 503-296-8413 · Fax 888-230-9329
Mailing address
3006 Se Lincoln StPortland, OR 97214-5654
Phone 503-804-4130
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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