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ABIGAIL ROSE LEI BULLOCK
NPI 1821670670
Counselor - Professional in Portland, OR

Active since April 22, 2021
4531 SE BELMONT ST STE 317, PORTLAND, OR 97215(503) 389-0030 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2026, Dec 11, 2025, Aug 7, 2025 and 1 more (4 updates tracked since 2021).

About Abigail Rose Lei Bullock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABIGAIL ROSE LEI BULLOCK (NPI 1821670670) is an individual professional provider in Portland, Oregon, licensed in Oregon (C10900) and active in the NPI registry since April 2021. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1821670670
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameABIGAIL ROSE LEI BULLOCK
Location Address4531 SE BELMONT ST STE 317Portland, OR 97215-1693
Mailing Address4531 Se Belmont St Ste 317Portland, OR 97215-1693 · (503) 389-0030
Phone(503) 389-0030
Sole ProprietorYes
Enumeration DateApril 22, 2021
Last NPPES UpdateJune 3, 20264 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1821670670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C10900
4531 SE BELMONT ST STE 317, Portland, OR 97215
Open in Google Maps ↗

Secondary Practice Location 1

Location 11962 NW Kearney St Ste 302Portland, OR 97209-1464 · Phone (503) 389-0030

Other Identifiers 4

Other1336024496OR · Npi 2
OtherC10900OR · License
Medicaid500792702OR
Medicaid500873529OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DESERT ROSE COUNSELING, LLC
Counselor (Professional)
4531 SE BELMONT ST STE 317
PORTLAND, OR 97215
Multnomah County (503) 389-0030
MS. KATHERINE EVANS LMT
Massage Therapist
4531 SE BELMONT ST STE 317
PORTLAND, OR 97215
Multnomah County (973) 903-3478

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abigail Bullock's NPI number?

The NPI number for Abigail Bullock is 1821670670. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Abigail Bullock located?

Abigail Bullock practices at 4531 SE Belmont St Ste 317, Portland, OR 97215. The listed phone number is (503) 389-0030.

What is Abigail Bullock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Abigail Bullock accept?

Health plans from Moda Health Plan, Inc. list Abigail Bullock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Abigail Bullock was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.