Individual
DR. EDWARD ALLAN HACMAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
13033 SE RUSK RD, MILWAUKIE, OR 97222-2107
(503) 656-8098
(503) 656-1660
Mailing address
PO BOX 68612, PORTLAND, OR 97268-0612
(503) 656-8098
(503) 656-1660
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1968
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93-0953731
FEDERAL TAX PAYOR ID
OR
Enumeration date
01/10/2007
Last updated
03/18/2009
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