Provider Demographics
NPI:1538577358
Name:FOLEY, ROBIN (RDH, EPDH)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:FOLEY
Suffix:
Gender:F
Credentials:RDH, EPDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11900 SW CARMEN ST
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-2926
Mailing Address - Country:US
Mailing Address - Phone:503-998-5809
Mailing Address - Fax:
Practice Address - Street 1:11900 SW CARMEN ST
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-2926
Practice Address - Country:US
Practice Address - Phone:503-998-5809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-24
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORH6747124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist