Abbott, Miya Gray

Abbott, Miya Gray is an sole proprietor health care provider with primary practice located at 2304 E. Bumside St. Suite 201, Portland OR 97214. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Abbott, Miya Gray can be contacted via phone (503) 951-0328.

Contact Information

Primary practice address
2304 E. Bumside St. Suite 201 Portland OR 97214
Fax:
Website:

Health care specialties

Profile Details

NPI number 1053595785
LBN Legal business name Abbott, Miya Gray
Credentials LICENSED CLINICAL SO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2007
Last updated Oct 23rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053595785 NPPES
Oregon MEDICAID 500637536

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