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NPI Code Detail

MEDICARE: ABBIE MARIE CAREY

MEDICARE: ABBIE MARIE CAREY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorOR

General Provider Information

NPI Number : 1710847751
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABBIE MARIE CAREY
Provider Business Mailing Address
First Line : 9570 SW BRENTWOOD PL
Second Line :
City : TIGARD
State : OR
Zip : 97224-5668
Country : US
Telephone Number : 503-319-1381
Fax Number :
Provider Business Practice Location Address
First Line : 7759 SE 72ND AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97206-7921
Country : US
Telephone Number : 775-972-9720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2025
Last Update Date : 05/19/2026

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Directions to “ ABBIE MARIE CAREY ” Practice Location

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