Individual
KENJI HAMADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1022 NW 6TH STREET, GRANTS PASS, OR 97526
(541) 476-4545
(541) 479-5985
Mailing address
1022 NW 6TH STREET, GRANTS PASS, OR 97526
(541) 476-4545
(541) 479-5985
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1181ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086884
—
OR
Enumeration date
10/02/2006
Last updated
03/07/2023
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