Individual provider · NPI-1

Sara Abbott, LCSW

Social Worker, Clinical · Portland, OR

NPI number1629600259
StatusActive
Last updated in NPPESApr 17, 2024

Details

NPI
1629600259
Entity type
Individual (NPI-1)
Name
Sara Abbott
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Feb 11, 2020
Certification date
Apr 17, 2024
Last updated
Apr 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalL11421ORYes
101Y00000X Counselor––

Practice location

14600 Nw Cornell Rd
Portland, OR 97229-5442

Phone 503-645-3581

Mailing address

14600 Nw Cornell Rd
Portland, OR 97229-5442

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