Provider Demographics
NPI:1730271776
Name:ABRAMOVITZ, JANICE LOGAN (RN)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:LOGAN
Last Name:ABRAMOVITZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8005 SW WESTGATE WAY
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-1240
Mailing Address - Country:US
Mailing Address - Phone:503-246-0753
Mailing Address - Fax:
Practice Address - Street 1:8005 SW WESTGATE WAY
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-1240
Practice Address - Country:US
Practice Address - Phone:503-246-0753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health