George Ivar Hannibal
Addiction Counselor (Substance Use Disorder) Clinical Social Worker
1419 Ne 69th Ave
Portland
, Oregon 97213-5301
George Ivar Hannibal
Addiction Counselor (Substance Use Disorder) Clinical Social Worker
1419 Ne 69th Ave
Portland
, Oregon 97213-5301
(503) 525-2846
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- George Ivar Hannibal
- 1419 Ne 69th Ave
- Portland, OR
- Zip : 97213-5301
- Fax : (503) 525-2846
- Phone : (503) 254-1545
Second Address
- George Ivar Hannibal
- 1419 Ne 69th Ave
- Portland, OR
- Zip : 97213-5301
- Fax : (503) 525-2846
- Phone : (503) 254-1545
Reviews
FAQs
Where did George Ivar Hannibal attend graduate school?
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In what state does George Ivar Hannibal practice in?
Where is George Ivar Hannibal ’s practice located?
What is George Ivar Hannibal ’s gender?
Is George Ivar Hannibal a sole practitioner?
Is George Ivar Hannibal accepting new patients?
What languages does George Ivar Hannibal speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 01-11-26 | OR |
| N | 1041C0700X | Clinical Social Worker | L0525 | OR |
National Provider Identifier
| NPI | 1003866708 |
|---|---|
| Provider Name | George Ivar Hannibal |
| First Address | Portland, OR 97213-5301 |
| Second Address | Portland, OR 97213-5301 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/05/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.