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GEORGE I. HANNIBAL
NPI 1578847737
Community/Behavioral Health in Portland, OR

Active since October 06, 2011
1419 NE 69TH AVE, PORTLAND, OR 97213(503) 254-1545(503) 525-2846 Get Directions Write a Review

NPPES record last updated: October 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About George I. Hannibal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGE I. HANNIBAL (NPI 1578847737) is a healthcare organization registered as a community/behavioral health in Portland, Oregon and active in the NPI registry since October 2011. The organization lists George Ivar. Hannibal, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1578847737
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameGEORGE I. HANNIBAL
Location Address1419 NE 69TH AVEPortland, OR 97213-5301
Mailing Address1419 Ne 69th AvePortland, OR 97213-5301 · (503) 254-1545 · Fax (503) 525-2846
Phone(503) 254-1545
Fax(503) 525-2846
Organization SubpartNo
Authorized OfficialGeorge Ivar. HannibalOwner/operator · (503) 254-1545
Enumeration DateOctober 6, 2011
✔ NPI 1578847737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in OR · L525
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1419 NE 69TH AVE, Portland, OR 97213
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGE IVAR HANNIBAL LCSW, CADCI
Counselor (Addiction (Substance Use Disorder))
1419 NE 69TH AVE
PORTLAND, OR 97213
Multnomah County (503) 254-1545
ALEXANDREA SMONE REYNOLDS
Massage Therapist
1419 NE 69TH AVE
PORTLAND, OR 97213
Multnomah County (971) 340-8445
HANNIBAL & HANNIBAL, LLC
Counselor (Addiction (Substance Use Disorder))
1419 NE 69TH AVE
PORTLAND, OR 97213
Multnomah County (503) 254-1545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is George I. Hannibal's NPI number?

The NPI number for George I. Hannibal is 1578847737. It was assigned to this organization in the NPPES registry on October 6, 2011.

Where is George I. Hannibal located?

George I. Hannibal is located at 1419 NE 69th Ave, Portland, OR 97213. The listed phone number is (503) 254-1545.

What is George I. Hannibal's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

What insurance does George I. Hannibal accept?

Health plans from Moda Health Plan, Inc. list George I. Hannibal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for George I. Hannibal was last updated on October 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.