Individual provider · NPI-1

Cara Rebecca Abraham

Case Manager/Care Coordinator · Portland, OR

NPI number1700914520
StatusActive
Last updated in NPPESMar 21, 2013

Details

NPI
1700914520
Entity type
Individual (NPI-1)
Name
Miss Cara Rebecca Abraham
Sex
Female
Sole proprietor
No
Enumeration date
Mar 1, 2007
Last updated
Mar 21, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
225700000X Massage Therapist18093OR

Practice location

4512 Se Woodstock Blvd
Portland, OR 97206-6274

Phone 503-777-2776

Mailing address

Po Box 8469
Portland, OR 97207

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Case Manager/Care Coordinator providers in Portland, OR