NPI 1629600259 · live from the CMS NPI Registry
Sara Abbott, LCSW
Social Worker, Clinical in Portland, OR. National Provider Identifier 1629600259, active.
NPI record
| NPI | 1629600259 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 14600 Nw Cornell Rd, Portland, OR 97229 |
| Practice phone | 503-645-3581 |
| Enumerated | February 11, 2020 |
| Last updated | April 17, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | L11421 (OR) |
| Counselor | 101Y00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.