Wellformed AI

NPI 1700914520 · live from the CMS NPI Registry

Cara Rebecca Abraham

Case Manager/Care Coordinator in Portland, OR. National Provider Identifier 1700914520, active.

NPI record

NPI1700914520 Type 1 · individual
StatusActive
Primary specialtyCase Manager/Care Coordinator 171M00000X
Practice location4512 Se Woodstock Blvd, Portland, OR 97206
Practice phone503-777-2776
Mailing addressPo Box 8469, Portland, OR 97207
EnumeratedMarch 1, 2007
Last updatedMarch 21, 2013
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator primary171M00000X—
Massage Therapist225700000X18093 (OR)

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