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NPI Code Detail

MEDICARE: HANNA DELYNN SKAGGS MSW

MEDICARE: HANNA DELYNN SKAGGS MSW
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
1101Y00000XCounselor
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1588345029
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNA DELYNN SKAGGS MSW
Provider Business Mailing Address
First Line : 5415 SW WESTGATE DR
Second Line :
City : PORTLAND
State : OR
Zip : 97221-2409
Country : US
Telephone Number : 503-645-3581
Fax Number :
Provider Business Practice Location Address
First Line : 7704 N HEREFORD AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97203-3434
Country : US
Telephone Number : 971-319-4827
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2023
Last Update Date : 06/16/2025

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