Healthcare Provider Details

I. General information

NPI: 1477464022
Provider Name (Legal Business Name): ABIGAIL BEENE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 VALLEY RIVER DR STE 260
EUGENE OR
97401-6760
US

IV. Provider business mailing address

PO BOX 1360
PHILOMATH OR
97370-1360
US

V. Phone/Fax

Practice location:
  • Phone: 458-273-5025
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: