IndividualActive
Abigail Bullock
NPI 1821670670 · Professional Counselor · Portland, OR
Provider details
- NPI number
- 1821670670
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- C10900 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4531 Se Belmont St Ste 317
Portland, OR 97215-1693
Phone: (503) 389-0030
Approximate (ZIP-level) locationGet directions
Mailing address
4531 Se Belmont St Ste 317
Portland, OR 97215-1693
Additional practice locations (1)
- 1962 Nw Kearney St Ste 302Portland, OR 97209-1464Phone: (503) 389-0030
Registry dates
- Enumerated
- 2021-04-22
- Last updated
- 2026-06-03
- Certified
- 2026-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.