ABIGAIL ROSE LEI BULLOCK NPI 1821670670

NPI Information

  • NPI: 1821670670
  • Provider Name: ABIGAIL ROSE LEI BULLOCK
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1942 NW KEARNEY ST STE 11
    PORTLAND, OR
    ZIP 97209
  • Phone: (503) 610-5567

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NPI Details

Abigail Rose Lei Bullock is a mental health counselor in Portland, OR. Abigail Rose Lei Bullock NPI is 1821670670. 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:

1942 NW KEARNEY ST STE 11
PORTLAND, OR
ZIP 97209-463
Phone: (503) 610-5567

The enumeration date for this NPI number is 4/22/2021 and was last updated on 8/7/2025.

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
1101YM0800XCounselorMental HealthYes

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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