Miya Gray Abbott in Portland - Clinical

Miya Gray Abbott - NPI 1053595785

Miya Gray Abbott is a Clinical in Portland, Oregon. Miya Gray Abbott practices all healthcare services and medical treatments related to Clinical. The NPI Number for Miya Gray Abbott is 1053595785. The last update date is 2023-10-23.

Miya Gray Abbott's current location address is 2304 E Burnside St Ste 201, Portland, Oregon. You can contact this provider via phone number 5039510328. The mailing address for Miya Gray Abbott is 2304 E Burnside St Ste 201, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Miya Gray Abbott
Address 2304 E Burnside St Ste 201, Portland, Oregon
Phone Number 5039510328
Fax Number
Sole Proprietor Y
Credentials LICENSED C

NPI Number Detail

NPI Number 1053595785
Provider Enumeration Date 2007-12-17
Last Updated Date 2023-10-23

Provider Mailing Address Detail

Address 2304 E Burnside St Ste 201
City Portland
State Oregon (OR)
Post Code 972141689
Phone Number 5039510328
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
500637536 OR --

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FAQs about Miya Gray Abbott

What is the unique 10-digit identifier code issued to Miya Gray Abbott by the Centers for Medicare & Medicaid Services?

The Miya Gray Abbott has been assigned the NPI (National Provider Identifier) 1053595785 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Miya Gray Abbott is physically located?

The Miya Gray Abbott is physically situated at the following address: 2304 E Burnside St Ste 201, Portland, OR, 972141689.

What is the Miya Gray Abbott's area of specialization and corresponding taxonomy classification?

The Miya Gray Abbott's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.

When did Miya Gray Abbott receive its 1053595785 assignment?

The Miya Gray Abbott was assigned its 1053595785 on 2007-12-17, which is the date when this unique identifier was issued to the organization.

When was the information related to Miya Gray Abbott most recently updated or refreshed?

The details pertaining to the Miya Gray Abbott, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-10-23.

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