Atheir Ibrahim Abbas, MD, PHD
Individual provider Active NPI Psychiatry Physician · Portland, OR
NPI 1700178175 · NPPES record last updated Jan 15, 2025
Key facts
- NPI
- 1700178175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 265637 (NY)
- Practice address
- 3710 SW US Veterans Hospital Road
Building 101, RM 514, Mailbox R&D28
Portland, OR 97239-2964 - Phone
- (503) 220-8262
- NPI assigned
- May 4, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 265637 | NY | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 265637 | NY | Yes |
Addresses
Primary practice location
3710 SW US Veterans Hospital Road
Building 101, RM 514, Mailbox R&D28
Portland, OR 97239-2964
Mailing address
330 W 58TH St Ste 304
New York, NY 10019-1801
Phone (646) 838-2227
Other providers in Portland, OR
- Reyna Abarca Mejia
- Jena Abaria
- Jefferson Overlin Abaricia
- Ivan Abarzua
- Sierra Nicole Abate
- Nora Lisa Abbas
- Sally Abbass
- Soraya Ann Abbassian
- Thomas Abbatiello
- Brianna C Abbey
All providers in Portland, OR · Psychiatry Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.