Individual
BRENT HAMMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2099
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
60545304
WA
225100000X
Physical Therapist
Primary
65687
OR
Other
Enumeration date
12/30/2013
Last updated
12/17/2025
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