Stacey L Abosamra, PT, DPT
Physical Therapist in Portland, Oregon
1063256071- Practice location
- 2330 NW Flanders St Ste G1, Portland, OR 97210-3441
- Phone
- 503-223-1856
- Fax
- —
- Last updated
- June 24, 2024
Stacey L Abosamra, PT, DPT is a Physical Therapist based in Portland, OR. Stacey L Abosamra, PT, DPT holds the professional credentials of PT, DPT. The NPI number for Stacey L Abosamra, PT, DPT is 1063256071 and holds license No. 65347 (OR). The current practice location address is 2330 NW Flanders St Ste G1, Portland, OR 97210-3441 and the office can be reached by phone at 503-223-1856. The NPI was assigned on June 24, 2024 and the record was last updated in NPPES on June 24, 2024.
●Provider Profile Details
- NPI Number
- 1063256071
- Provider Name
- Stacey Leann Abosamra
- Credential
- PT, DPT
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Enumeration Date
- June 24, 2024
- Last Update Date
- June 24, 2024
- Certification Date
- June 24, 2024
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 2330 NW Flanders St Ste G1
Portland, OR 97210-3441 - City
- Portland
- State
- Oregon
- ZIP
- 97210-3441
- Country
- US
- Phone Number
- 503-223-1856
✉Business Mailing Address
- Address
- 2330 NW Flanders St Ste G1
Portland, OR 97210-3441 - City
- Portland
- State
- OR
- ZIP
- 97210-3441
- Phone Number
- 503-223-1856
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 65347 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Portland →?Frequently Asked Questions
What is the NPI number of Stacey L Abosamra, PT, DPT?
The NPI number of Stacey L Abosamra, PT, DPT is 1063256071. It was assigned on June 24, 2024 and is currently active in the NPPES registry.
What is the specialty of Stacey L Abosamra, PT, DPT?
Stacey L Abosamra, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X) and holds license No. 65347 (OR).
Where does Stacey L Abosamra, PT, DPT practice?
The practice location is 2330 NW Flanders St Ste G1, Portland, OR 97210-3441. The office can be reached at 503-223-1856 (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 1063256071 directly on the NPPES registry website at npiregistry.cms.hhs.gov.