Provider Demographics
NPI:1194278390
Name:GRIFFITH, ABIGAIL J (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:J
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 NW COUNCIL DR STE 125
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030-3794
Mailing Address - Country:US
Mailing Address - Phone:503-661-3439
Mailing Address - Fax:503-669-1360
Practice Address - Street 1:831 NW COUNCIL DR STE 125
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030
Practice Address - Country:US
Practice Address - Phone:503-661-3439
Practice Address - Fax:503-669-1360
Is Sole Proprietor?:No
Enumeration Date:2016-07-25
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORA38741041C0700X
ORL80361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical