Individual
ABIGAIL LEE HABERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
690 NW CALLOWAY DR, CORVALLIS, OR 97330-9598
(541) 754-2757
(541) 754-3584
Mailing address
690 NW CALLOWAY DR, CORVALLIS, OR 97330-9598
(541) 754-2757
(541) 754-3584
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD16039
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041181
—
OR
Enumeration date
11/09/2006
Last updated
09/14/2021
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