NPI 1104631159 · live from the CMS NPI Registry
Marissa Abbott
Social Worker in Portland, OR. National Provider Identifier 1104631159, active.
NPI record
| NPI | 1104631159 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 6923 N Vancouver Ave, Portland, OR 97217 |
| Practice phone | 858-342-5656 |
| Mailing address | 5331 S Macadam Ave, Portland, OR 97239 |
| Enumerated | February 7, 2025 |
| Last updated | February 7, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.