- Practice location
- 2304 E. Bumside St., Suite 201, Portland, OR 97214
- Phone
- 503-951-0328
- Fax
- —
- Last updated
- October 23, 2023
Miya Gray Abbott is a Social Worker, Clinical based in Portland, OR. Miya Gray Abbott practices in Portland, OR and has the professional credentials of LICENSED CLINICAL SO. The NPI Number for Miya Gray Abbott is 1053595785 and holds a License No. L4914 (OR). The current practice location address for Miya Gray Abbott is 2304 E. Bumside St., Suite 201, Portland, OR 97214 and can be reached out via phone at 503-951-0328.
Provider Profile Details
- NPI Number
- 1053595785
- Provider Name
- Miya Gray Abbott
- Credential
- LICENSED CLINICAL SO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2304 E. Bumside St., Suite 201, Portland, OR 97214
- Phone Number
- 503-951-0328
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 17, 2007
- Last Update Date
- October 23, 2023
- Certification Date
- January 21, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2304 E. Bumside St.
Suite 201
Portland, OR 97214 - City
- Portland
- State
- Oregon
- Zip
- 97214
- Phone Number
- 503-951-0328
Provider Business Mailing Address Details
- Address
- 2304 E Burnside St Ste 201
Portland, OR 97214-1689 - City
- Portland
- State
- OR
- Zip
- 97214-1689
- Phone Number
- 503-951-0328
License Information
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- L4914
- License State (2)
- OR
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Miss Miya G Abbott, LICENSED CLINICAL SO?
The NPI number of Miss Miya G Abbott, LICENSED CLINICAL SO is 1053595785. It was assigned on December 17, 2007 and is currently active in the NPPES registry.
What is the specialty of Miss Miya G Abbott, LICENSED CLINICAL SO?
Miss Miya G Abbott, LICENSED CLINICAL SO is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in OR under license number L4914.
Where does Miss Miya G Abbott, LICENSED CLINICAL SO practice?
The practice location is 2304 E. Bumside St., Suite 201, Portland, OR 97214. The office can be reached at 503-951-0328 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053595785 directly on the NPPES registry website.