Provider Demographics
NPI:1790059624
Name:BROWN, ABIGAIL MARIE (LPC, CADCII, QMHP)
Entity type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:MARIE
Last Name:BROWN
Suffix:
Gender:F
Credentials:LPC, CADCII, QMHP
Other - Prefix:MS
Other - First Name:ABIGAIL
Other - Middle Name:MARIE
Other - Last Name:GUNNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CADCI, QMHP
Mailing Address - Street 1:500 NE MULTNOMAH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-2031
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10315 NE TANASBOURNE DR
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-7836
Practice Address - Country:US
Practice Address - Phone:800-813-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-23
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC3656101YM0800X
OR16-06-18101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health