Organization · NPI-2

Abeja Therapy LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Portland, OR

NPI number1922968882
StatusActive
Last updated in NPPESNov 13, 2025

Details

NPI
1922968882
Entity type
Organization (NPI-2)
Legal business name
Abeja Therapy LLC
Organization subpart
No
Enumeration date
Nov 13, 2025
Certification date
Nov 13, 2025
Last updated
Nov 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

5441 S Macadam Ave Ste R
Portland, OR 97239-3822

Phone 971-266-1460

Mailing address

5441 S Macadam Ave Ste R
Portland, OR 97239-3822

Phone 971-266-1460

Authorized official

Stephanie Rodriguez
Clinical Psychologist
9712661460

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