Robert Allen Sperry, PMNHP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1487831368

Robert Allen Sperry, PMNHP is a Nurse Practitioner in Seaside, Oregon. Qualified in 2002, 24 years ago. Practices with Columbia Lutheran Charities, a 110-clinician group and accepts Medicare assignment. Licensed in Ohio and Oregon.

Years since qualifying: 24
Licensed in: OH, OR
In the registry since: 2008
Specialties on file: 2

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Practice location Address checks out

725 S Wahanna Rd
Seaside, OR 97138-7735
Phone: (503) 717-7000
Fax: (503) 717-7476

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary)	Taxonomy 363LP0808X · Licence 201350052NP (OR)
Psychiatric/Mental Health Nurse Practitioner	Taxonomy 363LP0808X · Licence NP-09069 (OH)

Record details

NPI number	1487831368
Entity type	Individual (Type 1)
Gender	Male
Credentials	PMNHP
Sole proprietor	No
NPI enumerated	January 23, 2008
Last updated in NPPES	September 28, 2020
Certification date	September 28, 2020
Mailing address	Po Box 3397, Portland, OR 97208-3397

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	NURSE PRACTITIONER
Medical school	OTHER
Graduated	2002 (24 years in practice)
Group practice	Columbia Lutheran Charities — 110 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount