Active NPI
Taylor Abrigo
- Specialist
- Portland, OR
National Provider Identifier
1487438586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- L3799
- Practice address
- 4035 NE Sandy Blvd # 200
Portland, OR 97212-5331 - Phone
- (971) 940-2601
- Fax
- (971) 275-1534
- NPI assigned
- Aug 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | L3799 | OR | Primary |
Addresses
Primary practice location
4035 NE Sandy Blvd # 200
Portland, OR 97212-5331
Mailing address
4035 NE Sandy Blvd # 200
Portland, OR 97212-5331
Phone (971) 940-2601
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 |
|---|---|---|---|
| L3799 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Neurofeedback, LLC | Current | Accepting new patients |
Locations
4035 NE Sandy Blvd
#200
Portland, OR 97212
Phone (971) 940-2601
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Portland, OR
- NPI 1558875476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1487438586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4035 NE SANDY BLVD # 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972125331",
"telephone_number": "971-940-2601",
"fax_number": "971-275-1534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4035 NE SANDY BLVD # 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972125331",
"telephone_number": "971-940-2601",
"fax_number": "971-275-1534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRIGO",
"first_name": "TAYLOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-21",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "L3799",
"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 Aug 21, 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.