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NPI Code Detail

MEDICARE: ROBERT C HAAS LCSW

MEDICARE: ROBERT C HAAS 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 WorkerL2909OR

General Provider Information

NPI Number : 1558377085
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT C HAAS LCSW
Provider Business Mailing Address
First Line : 524 MAIN ST
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-1824
Country : US
Telephone Number : 503-655-8558
Fax Number : 503-655-8197
Provider Business Practice Location Address
First Line : 524 MAIN ST
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-1824
Country : US
Telephone Number : 503-655-8558
Fax Number : 503-655-8197
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 07/08/2007

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Directions to “ ROBERT C HAAS LCSW” Practice Location

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