Individual
ALICE HACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4936 SE WOODSTOCK BLVD, PORTLAND, OR 97206-6163
(503) 395-0029
Mailing address
4936 SE WOODSTOCK BLVD, PORTLAND, OR 97206-6163
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10225
OR
1041C0700X
Clinical Social Worker
—
NY
Other
Enumeration date
10/14/2014
Last updated
10/24/2023
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