Active NPIIndividual provider

Jefferson O Abaricia, MD, PHD

Student in an Organized Health Care Education/Training Program in Portland, Oregon

NPI Number1073215711
Practice location
3181 SW Sam Jackson Park RD, Portland, OR 97239-3011
Fax
—
Last updated
March 20, 2023

Jefferson Overlin Abaricia is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Jefferson Overlin Abaricia practices in Portland, OR and has the professional credentials of MD, PHD. The NPI Number for Jefferson Overlin Abaricia is 1073215711. The current practice location address for Jefferson Overlin Abaricia is 3181 SW Sam Jackson Park RD, Portland, OR 97239-3011 and can be reached out via phone at 503-494-8311.

Provider Profile Details

NPI Number
1073215711
Provider Name
Jefferson Overlin Abaricia
Credential
MD, PHD
Provider Entity Type
Individual
Gender
Male
Address
3181 SW Sam Jackson Park RD, Portland, OR 97239-3011
Phone Number
503-494-8311
Sole Proprietor
No
Provider Enumeration Date
March 20, 2023
Last Update Date
March 20, 2023
Certification Date
March 18, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
3181 SW Sam Jackson Park RD
Portland, OR 97239-3011
State
Oregon
Zip
97239-3011
Phone Number
503-494-8311
Portland, OR 97239Get directions →

Provider Business Mailing Address Details

Address
3181 SW Sam Jackson Park RD
Portland, OR 97239-3011
City
Portland
State
OR
Zip
97239-3011
Phone Number
503-494-8311

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
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 Jefferson O Abaricia, MD, PHD?

The NPI number of Jefferson O Abaricia, MD, PHD is 1073215711. It was assigned on March 20, 2023 and is currently active in the NPPES registry.

What is the specialty of Jefferson O Abaricia, MD, PHD?

Jefferson O Abaricia, MD, PHD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Jefferson O Abaricia, MD, PHD practice?

The practice location is 3181 SW Sam Jackson Park RD, Portland, OR 97239-3011. The office can be reached at 503-494-8311 (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 1073215711 directly on the NPPES registry website.

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