Provider Demographics
NPI:1245357722
Name:DRINKARD, ABIGAIL ARLEEN
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:ARLEEN
Last Name:DRINKARD
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ABIGAIL
Other - Middle Name:DRINKARD
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC
Mailing Address - Street 1:6655 SW HAMPTON ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-8300
Mailing Address - Country:US
Mailing Address - Phone:503-684-9717
Mailing Address - Fax:503-684-6038
Practice Address - Street 1:6655 SW HAMPTON ST
Practice Address - Street 2:SUITE 100
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-8300
Practice Address - Country:US
Practice Address - Phone:503-684-9717
Practice Address - Fax:503-684-6038
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC00596171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist