Hannibal & Hannibal, Llc in Portland - Addiction (substance Use Disorder)

Hannibal & Hannibal, Llc - NPI 1912119835

Hannibal & Hannibal, Llc is a Addiction (substance Use Disorder) in Portland, Oregon. Hannibal & Hannibal, Llc practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Hannibal & Hannibal, Llc is 1912119835. The last update date is 2020-08-22.

Hannibal & Hannibal, Llc's current location address is 1419 Ne 69th Ave, Portland, Oregon. You can contact this provider via phone number 5032541545 and fax number 5035252846. The mailing address for Hannibal & Hannibal, Llc is 1419 Ne 69th Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Hannibal & Hannibal, Llc
Address 1419 Ne 69th Ave, Portland, Oregon
Phone Number 5032541545
Fax Number 5035252846
Sole Proprietor --
Credentials --

Authorized Official

Title or Position LLC MANAGE
Authorized Official Name Hannibal Ivar George
Credentials MSW
Telephone Number 5032541545

NPI Number Detail

NPI Number 1912119835
Provider Enumeration Date 2007-05-04
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1419 Ne 69th Ave
City Portland
State Oregon (OR)
Post Code 972135301
Phone Number 5032541545
Fax Number 5035252846

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 2026-01-11 0
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Hannibal & Hannibal, Llc

What is the unique 10-digit identification code assigned to Hannibal & Hannibal, Llc by the Centers for Medicare & Medicaid Services?

The Hannibal & Hannibal, Llc has been issued the NPI (National Provider Identifier) 1912119835, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Hannibal & Hannibal, Llc?

The Hannibal & Hannibal, Llc is situated at 1419 Ne 69Th Ave, in the city of Portland, state of OR, with the zip code 972135301.

What is the Hannibal & Hannibal, Llc's specialty and taxonomy code?

The Hannibal & Hannibal, Llc's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1912119835 to Hannibal & Hannibal, Llc?

The Centers for Medicare & Medicaid Services assigned the 1912119835 to Hannibal & Hannibal, Llc on 2007-05-04.

As of what date was the information regarding Hannibal & Hannibal, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Hannibal & Hannibal, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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