Provider Demographics
NPI:1316585136
Name:ABRITE OREGON LLC
Entity Type:Organization
Organization Name:ABRITE OREGON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:PUMPHREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-234-1444
Mailing Address - Street 1:749 37TH AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95062-5124
Mailing Address - Country:US
Mailing Address - Phone:844-322-7483
Mailing Address - Fax:888-334-7021
Practice Address - Street 1:922 NW CIRCLE BLVD STE 160-151
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-1483
Practice Address - Country:US
Practice Address - Phone:844-322-7483
Practice Address - Fax:888-334-7021
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABRITE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-12-11
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency