Individual provider · NPI-1

Marissa Abbott

Social Worker · Portland, OR

NPI number1104631159
StatusActive
Last updated in NPPESFeb 7, 2025

Details

NPI
1104631159
Entity type
Individual (NPI-1)
Name
Marissa Abbott
Sex
Female
Sole proprietor
No
Enumeration date
Feb 7, 2025
Certification date
Feb 7, 2025
Last updated
Feb 7, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes

Practice location

6923 N Vancouver Ave
Portland, OR 97217-1746

Phone 858-342-5656

Mailing address

5331 S Macadam Ave
Portland, OR 97239-6104

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