Hannibal & Hannibal, Llc in Portland - Clinical
Hannibal & Hannibal, Llc - NPI 1912119835
Hannibal & Hannibal, Llc is a Clinical in Portland, Oregon. Hannibal & Hannibal, Llc practices all healthcare services and medical treatments related to Clinical. 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 |
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Address | 1419 Ne 69th Ave, Portland, Oregon |
Phone Number | 5032541545 |
Fax Number | 5035252846 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | LLC MANAGE |
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Authorized Official Name | Hannibal Ivar George |
Credentials | MSW |
Telephone Number | 5032541545 |
NPI Number Detail
NPI Number | 1912119835 |
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Provider Enumeration Date | 2007-05-04 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1419 Ne 69th Ave |
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City | Portland |
State | Oregon (OR) |
Post Code | 972135301 |
Phone Number | 5032541545 |
Fax Number | 5035252846 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | L0525 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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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 Clinical, and the corresponding taxonomy code is 1041C0700X.
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.
NPI Number: 1477582294
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