Abby Bohn LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ABBY BOHN LLC

Practice address

6025 Jean Rd Ste B
Lake Oswego, OR 97035-5307

Phone

(503) 749-7060

Fax

(503) 300-4830

NPI assigned

Oct 8, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Abigail Bohn, PMHNPNPI 1568742831

Title

Owner

Phone

(503) 749-7060

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abigail Bohn

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Oswego, OR
  • NPI 1568742831
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1306443783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 JEAN RD STE B",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355307",
            "telephone_number": "503-749-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 JEAN RD STE B",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355307",
            "telephone_number": "503-749-7060",
            "fax_number": "503-300-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBY BOHN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "BOHN",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-749-7060",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.