Individual
DR. ROXANA RUTH MASSEY ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
15640 NW LAIDLAW RD, SUITE 102, PORTLAND, OR 97229-3828
(503) 764-0100
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO155981
OR
207Q00000X
Family Medicine Physician
OL60018342
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500638687
—
OR
01
—
P01026743
RR MEDICARE
OR
Enumeration date
07/31/2008
Last updated
07/25/2012
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