Individual
MS. JOANNE M. HAMMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2520 BROADWAY ST, NORTH BEND, OR 97459-1634
(541) 756-5712
(541) 756-9753
Mailing address
2520 BROADWAY ST, NORTH BEND, OR 97459-1635
(541) 756-5712
(541) 756-9753
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1638ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0885700001
DME ID #
OR
05
—
1633-1
—
OR
Enumeration date
06/02/2006
Last updated
07/09/2007
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