Active NPI
Abbey F Stamp-O'Connor, MSW CSWA
- Social Worker
- Portland, OR
National Provider Identifier
1356480875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- A1718
- Practice address
- 1401 NE 68TH Ave
Portland, OR 97213-4957 - Phone
- (503) 988-4559
- Fax
- (503) 988-4664
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | A1718 | OR | Primary |
Addresses
Primary practice location
1401 NE 68TH Ave
Portland, OR 97213-4957
Mailing address
1401 NE 68TH Ave
Portland, OR 97213-4957
Phone (503) 988-4559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1718 | OR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1356480875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 NE 68TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972134957",
"telephone_number": "503-988-4559",
"fax_number": "503-988-4664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 NE 68TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972134957",
"telephone_number": "503-988-4559",
"fax_number": "503-988-4664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAMP-O'CONNOR",
"first_name": "ABBEY",
"middle_name": "F",
"credential": "MSW CSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OR",
"license": "A1718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.