SORAYA A ABBASSIAN MD LLC


Address: 10373 Ne Hancock St Ste 117, Portland, OR 97220-3873
Phone: 5032538200

SORAYA A ABBASSIAN MD LLC (NPI# 1881871788) 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) 1881871788
Entity Type Organization
Organization Name SORAYA A ABBASSIAN MD LLC
Other Organization Name RAY ABBASSIAN
Practice Address 10373 Ne Hancock St Ste 117
Portland
OR 97220-3873
Practice Telephone 5032538200
Practice Fax Number 5032538121
Mailing Telephone 5032538200
Mailing Fax Number 5032538121
Enumeration Date 2008-01-23
Last Update Date 2008-01-23
Authorized Official Name SORAYA A ABBASSIAN (DOCTOR)
Authorized Official Telephone 5032538200
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305S00000X Point of Service MD23436 OR Managed Care Organizations

Other Provider Identifier

State Issuer Identifier Type Code
OR MEDICARE R130834 01
OR UPIN H64490 01
OR 286400 05

Other Provider/Organization Names

Other Name Type Code
Ray Abbassian Other Name - Individual/Organization

Office Location

Street Address 10373 NE HANCOCK ST STE 117
City PORTLAND
State OR
Zip Code 97220-3873

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1245771740 Maria Teresa Banez Salcedo Registered Nurse 10300 Ne Hancock Street, Portland, OR 97220 2017-03-16
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1962945956 Linda Ann Oldenburg Registered Nurse 9515 Ne Skidmore Avenue, Portland, OR 97220 2016-11-23
1326493446 Trent D. Wilson Massage Therapist 8401 Ne Halsey St., Suite 101, Portland, OR 97220 2016-04-26
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Taxonomy Information

Taxonomy Code 305S00000X
Grouping Managed Care Organizations
Classification Point of Service

Taxonomy Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62

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NPI Name Taxonomy Address Enumeration
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1871668947 Bayside Employee Health Center Point of Service 323 Marginal Way, Portland, ME 04101-2543 2006-11-22
1962853614 Emily Simpson, Lmt Point of Service 505 Nw 9th Ave, Portland, OR 97209-3578 2016-06-23
1538567847 Will Hallett Bodywork, Inc Point of Service 511 Sw 10th Ave, Ste 1108, Portland, OR 97205-2732 2014-12-18
1275707051 Barbara G. Isaacs, Ph.d.,pc Point of Service 5441 Sw Macadam Ave, Suite 102, Portland, OR 97239-6106 2008-04-14
1235325333 Myoptic Optometry, LLC Point of Service 3333 Se Belmont St, Portland, OR 97214-4244 2007-09-21
1912053331 Cascadia Behavioral Health Point of Service 521 Sw 11th Ave, Portland, OR 97205-2634 2007-01-26

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1740635713 Restore Massage Pdx LLC Point of Service 14833 Sw 72nd Ave, Tigard, OR 97224-7911 2016-04-27
1184091209 Stillwater Spa & Wellness Center Point of Service 1775 Washburn Way Ste A, Klamath Falls, OR 97603-4304 2015-08-24
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1770789414 Good Neighbor Care Eugene, LLC Point of Service 2630 Lone Oak Way, Eugene, OR 97404-2547 2007-06-21
1891998084 Timberwood Assisted Living, LLC Point of Service 1090 Gateway Loop, Springfield, OR 97477-1113 2007-06-06
1649484759 Five Rivers Assisted Living and Retirement Commmunity, LLC Point of Service 3200 State Street, Suite 200, Salem, OR 97301 2007-05-09
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Competitor

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City PORTLAND
Zip Code 97220

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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