Healthcare Provider Details

I. General information

NPI: 1053232140
Provider Name (Legal Business Name): DAVID ABRAHAMSON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 SE GRACE AVE
BATTLE GROUND WA
98604-3526
US

IV. Provider business mailing address

PO BOX 1675
BRUSH PRAIRIE WA
98606-1675
US

V. Phone/Fax

Practice location:
  • Phone: 360-843-0393
  • Fax:
Mailing address:
  • Phone: 360-843-0393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: