Healthcare Provider Details

I. General information

NPI: 1417864257
Provider Name (Legal Business Name): ABIGAIL THEXTON ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 N KILLINGSWORTH ST
PORTLAND OR
97217-4436
US

IV. Provider business mailing address

1033 SW GIBBS ST UNIT 104
PORTLAND OR
97239-7326
US

V. Phone/Fax

Practice location:
  • Phone: 804-247-1969
  • Fax:
Mailing address:
  • Phone: 804-247-1969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: