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Alice Hacker
NPI 1477957876 · on the registry since 2014 · sole proprietor
Practice
- Address
- 4936 Se Woodstock Blvd
Portland, OR 97206 - Phone
- (503) 395-0029
- Organisation at this address
- Alice Hacker
Fawn And Yarrow Counseling LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- NY, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon