George I. Hannibal
George I. Hannibal is a Community/Behavioral Health Agency in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2011.
- Licensed in
- OR
- In the registry since
- 2011
Practice location Address checks out
1419 NE 69th AvePortland, OR 97213-5301
Phone: (503) 254-1545
Fax: (503) 525-2846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence L525 (OR) |
|---|
Record details
| NPI number | 1578847737 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | George Hannibal — Owner/Operator · (503) 254-1545 |
| NPI enumerated | October 6, 2011 |
| Last updated in NPPES | October 6, 2011 |
| Mailing address | 1419 Ne 69th Ave, Portland, OR 97213-5301 |
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