Basic Information
Provider Information
NPI: 1770923591
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HACKER
FirstName: FRANCIS
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 70368
Address2:  
City: SPRINGFIELD
State: OR
PostalCode: 974750120
CountryCode: US
TelephoneNumber: 5414852777
FaxNumber: 5412462353
Practice Location
Address1: 3355 RIVERBEND DR STE 210
Address2:  
City: SPRINGFIELD
State: OR
PostalCode: 974778800
CountryCode: US
TelephoneNumber: 5413497600
FaxNumber: 5416868330
Other Information
ProviderEnumerationDate: 06/25/2013
LastUpdateDate: 07/19/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/19/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X462075PAN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207VM0101XMD210022ORY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine

No ID Information.


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