NPI 1255401063 · live from the CMS NPI Registry
Abigail Lee Haberman, MD
Dermatology in Corvallis, OR. National Provider Identifier 1255401063, active.
NPI record
| NPI | 1255401063 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 690 Nw Calloway Dr, Corvallis, OR 97330 |
| Practice phone | 541-754-2757 |
| Enumerated | November 9, 2006 |
| Last updated | September 14, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | MD16039 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.