JACEK A HACIAK

SALEM, OR
NPI1447339445
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC1900X Psychologist, Counseling
(Licence: OR  1242)
Enumeration Date2006-11-02
Last Update Date2007-07-08
Business Address
-- JACEK A HACIAK PsyD
2600 CENTER ST NE OS HOSPITAL
SALEM, OR 97301
Phone number: 503-945-2800
Mailing Address
-- JACEK A HACIAK PsyD
PO BOX 14900 IRS OSH
SALEM, OR 97309-5016
Phone number: 503-945-9840
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