Provider Demographics
NPI:1801035928
Name:HODGSON, ABIGAIL HEPPNER (DC)
Entity Type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:HEPPNER
Last Name:HODGSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ABBY
Other - Middle Name:
Other - Last Name:HEPPNER HODGSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1010 13TH ST SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-2507
Mailing Address - Country:US
Mailing Address - Phone:503-391-9222
Mailing Address - Fax:503-363-8193
Practice Address - Street 1:1010 13TH ST SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-2507
Practice Address - Country:US
Practice Address - Phone:503-391-9222
Practice Address - Fax:503-363-8193
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-12
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3905111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor