HANNIBAL & HANNIBAL LLC NPI 1912119835

NPI Information

NPI: 1912119835
Provider Name: HANNIBAL & HANNIBAL, LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
1419 NE 69TH AVE
PORTLAND, OR
ZIP 97213
Phone: (503) 254-1545
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HANNIBAL & HANNIBAL, LLC is an addiction (substance use disorder) counselor in Portland, OR. HANNIBAL & HANNIBAL, LLC NPI is 1912119835. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1419 NE 69TH AVE
PORTLAND, OR
ZIP 97213-301
Phone: (503) 254-1545
Fax: (503) 525-2846

The provider's authorized official is George Ivar Hannibal .
The authorized official title is Llc Manager and has the following contact phone number (503) 254-1545.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	01-11-26	OREGON	Yes
2	1041C0700X	Social Worker	Clinical	L0525	OREGON	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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