ABIGAIL DORA ANN KRUMMENACKER NPI 1063312619

NPI Information

  • NPI: 1063312619
  • Provider Name: ABIGAIL DORA ANN KRUMMENACKER
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 1217 NE BURNSIDE RD STE 701
    GRESHAM, OR
    ZIP 97030
  • Phone: (503) 740-1971

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NPI Details

Abigail Dora Ann Krummenacker is a student in an organized health care education training program in Gresham, OR. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Abigail Dora Ann Krummenacker NPI is 1063312619. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1217 NE BURNSIDE RD STE 701
GRESHAM, OR
ZIP 97030-770
Phone: (503) 740-1971
Fax: (503) 771-2436

The enumeration date for this NPI number is 11/7/2026 and was last updated on 11/7/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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