Provider Demographics
NPI:1912363797
Name:PAYNE, ABIGAIL ANGELICA (LMP)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:ANGELICA
Last Name:PAYNE
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8299 FAWN CRES
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:WA
Mailing Address - Zip Code:98230-9302
Mailing Address - Country:US
Mailing Address - Phone:206-499-3758
Mailing Address - Fax:
Practice Address - Street 1:5700 172ND ST NE STE B
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-7742
Practice Address - Country:US
Practice Address - Phone:360-572-3052
Practice Address - Fax:360-435-7941
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-08
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAAP700497262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty