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NPI 1275799082 · live from the CMS NPI Registry

Roxana Ruth Massey Abbott, DO

Family Medicine in Portland, OR. National Provider Identifier 1275799082, active.

NPI record

NPI1275799082 Type 1 · individual
StatusActive
Primary specialtyFamily Medicine 207Q00000X
Practice location15640 Nw Laidlaw Rd, Suite 102, Portland, OR 97229
Practice phone503-764-0100
Mailing addressPo Box 3158, Portland, OR 97208
EnumeratedJuly 31, 2008
Last updatedJuly 25, 2012
Sole proprietorNo
Other namesRoxana Massey

Taxonomies and licenses

TaxonomyCodeLicense
Family Medicine207Q00000XOL60018342 (WA)
Family Medicine primary207Q00000XDO155981 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.