{"npi":"1053595785","type":"NPI-1","status":"active","name":{"display":"Miss Miya Abbott Licensed Clinical So","other":[],"first":"MIYA","last":"ABBOTT","middle":"GRAY","credential":"LICENSED CLINICAL SO"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":false,"state":null,"license":null},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"OR","license":"L4914"}]},"addresses":[{"purpose":"LOCATION","street_1":"2304 E. BUMSIDE ST.","city":"PORTLAND","state":"OR","postal_code":"97214","country_code":"US","street_2":"SUITE 201","phone":"5039510328"},{"purpose":"MAILING","street_1":"2304 E BURNSIDE ST STE 201","city":"PORTLAND","state":"OR","postal_code":"972141689","country_code":"US","phone":"5039510328"}],"license":{"state":"OR","number":"L4914"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"500637536","state":"OR","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-12-17","last_updated":"2023-10-23","_meta":{"source":"NPPES","snapshot_date":"2023-10-23","doc_url":"https://findmynpi.com/api"}}