Healthcare Provider Details

I. General information

NPI: 1194900787
Provider Name (Legal Business Name): DOROTHY ABELSON, MSW, LCSW, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2008
Last Update Date: 01/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2290 OAKMONT WAY
EUGENE OR
97401-5519
US

IV. Provider business mailing address

2290 OAKMONT WAY
EUGENE OR
97401-5519
US

V. Phone/Fax

Practice location:
  • Phone: 541-484-9722
  • Fax:
Mailing address:
  • Phone: 541-484-9722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number748
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. DOROTHY ELLEN ABELSON
Title or Position: OWNER
Credential: LCSW
Phone: 541-484-9722