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NPI Code Detail

MEDICARE: ZACHARY ALLEN HALE LCSW

MEDICARE:   ZACHARY ALLEN HALE  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerL15884OR

General Provider Information

NPI Number : 1275347155
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY ALLEN HALE LCSW
Provider Business Mailing Address
First Line : PO BOX 190
Second Line :
City : TOPPENISH
State : WA
Zip : 98948-0190
Country : US
Telephone Number : 509-865-2395
Fax Number :
Provider Business Practice Location Address
First Line : 2275 COMMERCIAL ST
Second Line :
City : ASTORIA
State : OR
Zip : 97103-3327
Country : US
Telephone Number : 503-325-8315
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2025
Last Update Date : 06/25/2026

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Directions to “ ZACHARY ALLEN HALE LCSW” Practice Location

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