Provider Demographics
NPI:1356480875
Name:STAMP-O'CONNOR, ABBEY F (MSW CSWA)
Entity Type:Individual
Prefix:
First Name:ABBEY
Middle Name:F
Last Name:STAMP-O'CONNOR
Suffix:
Gender:F
Credentials:MSW CSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 NE 68TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-4957
Mailing Address - Country:US
Mailing Address - Phone:503-988-4559
Mailing Address - Fax:503-988-4664
Practice Address - Street 1:1401 NE 68TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-4957
Practice Address - Country:US
Practice Address - Phone:503-988-4559
Practice Address - Fax:503-988-4664
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORA1718104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker