| Doctor Name: | MR. PAUL ALEXANDER ROBERTSON |
| NPI Number: | 1639175938 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD00026285 |
| Business Practice Address: | 4525 3rd Ave Se Ste 200 Lacey, WA - 985031010 |
| Business Phone Number: | 3607543934 |
| Business Fax Number: | 3609438023 |
| Mailing Address: | Po Box 3360, PORTLAND |
| State: | OR |
| Postal Code: | 972083360 |
| Phone Number: | 8667472455 |
| Fax Number: | |
| NPI Enumeration Date: | 06/22/2005 |
| NPI Last Update Date: | 04/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | MD00026285 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |