Active NPIIndividual provider

Brian A Abeyta

Peer Specialist in Portland, Oregon

NPI Number1124605118
Practice location
33 NW Broadway, Portland, OR 97209-3580
Fax
—
Last updated
March 25, 2021

Brian A Abeyta is a Peer Specialist based in Portland, OR. The NPI number for Brian A Abeyta is 1124605118 and holds license No. THW104419 (OR). The current practice location address is 33 NW Broadway, Portland, OR 97209-3580 and the office can be reached by phone at 503-228-7134. The NPI was assigned on March 25, 2021 and the record was last updated in NPPES on March 25, 2021.

●Provider Profile Details

NPI Number
1124605118
Provider Name
Brian Andres Abeyta
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Peer Specialist · 175T00000X
Sole Proprietor
No
Enumeration Date
March 25, 2021
Last Update Date
March 25, 2021
Certification Date
March 25, 2021
NPI Status
Active

◉Business Practice Location Address

Address
33 NW Broadway
Portland, OR 97209-3580
State
Oregon
ZIP
97209-3580
Country
US
Phone Number
503-228-7134

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✉Business Mailing Address

Address
232 NW 6TH Ave
Portland, OR 97209-3609
City
Portland
State
OR
ZIP
97209-3609
Phone Number
503-294-1681
Fax Number
503-294-4321

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Peer Specialist175T00000XYesTHW104419OR

#Other Provider Identifiers

No legacy or other 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 Brian A Abeyta?

The NPI number of Brian A Abeyta is 1124605118. It was assigned on March 25, 2021 and is currently active in the NPPES registry.

What is the specialty of Brian A Abeyta?

Brian A Abeyta is registered under the primary taxonomy Peer Specialist (code 175T00000X) and holds license No. THW104419 (OR).

Where does Brian A Abeyta practice?

The practice location is 33 NW Broadway, Portland, OR 97209-3580. The office can be reached at 503-228-7134 (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 1124605118 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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