NPI 1114079696 · live from the CMS NPI Registry
Agnes Abel, LCSW
Social Worker, Clinical in Forest Grove, OR. National Provider Identifier 1114079696, active.
NPI record
| NPI | 1114079696 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1911 Mt View Ln, #500, Forest Grove, OR 97116 |
| Practice phone | 503-357-0206 |
| Enumerated | January 17, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 1195 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.