Abbott, Roxana Ruth Massey
Abbott, Roxana Ruth Massey is an individual health care provider with primary practice located at 15640 Nw Laidlaw Rd Suite 102, Portland OR 97229-3828. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Abbott, Roxana Ruth Massey can be contacted via phone (503) 764-0100.Contact Information
Primary practice address
15640 Nw Laidlaw Rd Suite 102
Portland OR 97229-3828
Phone: (503) 764-0100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OL60018342 | Washington |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO155981 | Oregon |
Profile Details
| NPI number | 1275799082 |
|---|---|
| LBN Legal business name | Abbott, Roxana Ruth Massey |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2008 |
| Last updated | Jul 25th, 2012 - about 12 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275799082 | NPPES |
| Oregon | Other | P01026743 | RR MEDICARE |
| Oregon | MEDICAID | 500638687 | RR MEDICARE |
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