ABIGAIL ANNIE BUCKLES


Address: 2740 Se Powell Blvd, Portland, OR 97202
Phone: 5036882616

ABIGAIL ANNIE BUCKLES (NPI# 1538662168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538662168
Entity Type Individual
Full Name ABIGAIL ANNIE BUCKLES
Other Name ABIGAIL ANNIE DRUFFEL
Practice Address 2740 Se Powell Blvd
Portland
OR 97202
Mailing Address 907 Fulton St
Newberg
OR 97132-1712
Practice Telephone 5036882616
Enumeration Date 2018-03-09
Last Update Date 2018-11-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
625 Ne Galloway St, Mcminnville, OR 971283933 5034347523

Office Location

Street Address 2740 SE POWELL BLVD
City PORTLAND
State OR
Zip Code 97202

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659776136 Evening Willis-cash Counselor 2740 Se Powell Blvd, Portland, OR 97202-2069 2014-10-27
1639778251 Fedor Jose Alvarado Case Manager/Care Coordinator 2740 Se Powell Blvd, Portland, OR 97202-2069 2020-10-23
1992317515 Isaac Suarez-nugent Clinic/Center 2740 Se Powell Blvd, Portland, OR 97202-2069 2020-08-17
1174164164 Soad Nur Abdi Case Manager/Care Coordinator 2740 Se Powell Blvd, Portland, OR 97202-2069 2019-10-01
1033689070 Cynthia G Molina Student in an Organized Health Care Education/Training Program 2740 Se Powell Blvd, Portland, OR 97202-2069 2018-12-03
1508334426 Emily Ann Waldron Social Worker 2740 Se Powell Blvd, Portland, OR 97202-2069 2018-11-08
1376034538 Rachael Domeyer Student in an Organized Health Care Education/Training Program 2740 Se Powell Blvd, Portland, OR 97202-2069 2018-05-23
1205346384 Yasharet Lopez-valencia Social Worker 2740 Se Powell Blvd, Portland, OR 97202-2069 2017-10-03
1619429461 Lauren Crombie Social Worker 2740 Se Powell Blvd, #7, Portland, OR 97202-2069 2016-10-27
1073963609 Heather Zarrilli Social Worker 2740 Se Powell Blvd, Portland, OR 97202-2069 2016-06-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073143442 Carewell LLC Counselor Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 2020-01-24
1588226765 Melissa Lynn Hartley Counselor 1235 Se Division St. Suite 103, Portland, OR 97202 2019-07-08
1275192999 Kimberly Rae Kilgore Counselor 5509 Se 22nd St #3a, Portland, OR 97202 2019-06-06
1639736069 Kyra Steinhauer Social Worker 3145 Se Powell Blvd, Portland, OR 97202 2019-05-21
1134644321 Bridgette Hennigsen Social Worker 3810 Se 11th Ave, Portland, OR 97202 2017-08-08
1558895789 Lenore Cangeloso Acupuncturist 1235 Se Division Street, Suie 117, Portland, OR 97202 2017-04-14
1376099093 Anna Christine Leclerc Contractor 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 2016-09-01
1144684663 Catholic Charities Case Management 2740 Se Powell Blvd., Portland, OR 97202 2016-04-11
1881082097 Zoomcare Dental, P.C. Dentist 3130 Se Division Street, Building 2, Portland, OR 97202 2014-12-23
1124424700 Jessica Nash Counselor 6411 Se 17th Ave, Portland, OR 97202 2014-11-10
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215536602 Dario J Lapoma Student in an Organized Health Care Education/Training Program 1305 Se Birch St, Portland, OR 97214-5335 2020-10-18
1740888155 Charles Samuel Goldfoot Student in an Organized Health Care Education/Training Program 1650 Nw 13th Ave Apt 109, Portland, OR 97209-3694 2020-10-16
1396343992 Shelby Taylor Bowerly Student in an Organized Health Care Education/Training Program 4522 Ne Ainsworth St, Portland, OR 97218-1322 2020-10-15
1821696816 Nancy Sierra Ferrer Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd # Or97239, Portland, OR 97239-3011 2020-10-13
1437757663 David Gallacher Student in an Organized Health Care Education/Training Program 3303 S Bond Ave # 1, Portland, OR 97239-4501 2020-10-10
1366049777 Carolyn Evans Student in an Organized Health Care Education/Training Program 80 Ne 14th Ave Apt 314, Portland, OR 97232-3568 2020-10-08
1669081659 Amy Hill Student in an Organized Health Care Education/Training Program 3931 N Juneau St Apt 7, Portland, OR 97217-7419 2020-07-27
1558979468 Elise Caitlin Esposito Student in an Organized Health Care Education/Training Program 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 2020-07-16
1750908844 Will Cowan Student in an Organized Health Care Education/Training Program 455 Sw Us Veterans Hospital Road., Portland, OR 97239 2020-07-06
1558986364 Haley Bosco Doyle Student in an Organized Health Care Education/Training Program 3587 Se Grant St, Portland, OR 97214-5829 2020-06-08
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97202

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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