Abigail Lee Haberman

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ABIGAIL LEE HABERMAN

Practice address

690 NW Calloway Dr
Corvallis, OR 97330-9598

Phone

(541) 754-2757

NPI assigned

Jul 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Abigail Haberman, M.D.

Title

M.D.

Phone

(541) 754-2757

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1871806950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 NW CALLOWAY DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973309598",
            "telephone_number": "541-754-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 NW CALLOWAY DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973309598",
            "telephone_number": "541-754-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABIGAIL LEE HABERMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "HABERMAN",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "541-754-2757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.