Individual
DOUGLAS HAMMERSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 E 29TH AVE, LOWER LEVEL, SPOKANE, WA 99203-3917
(509) 626-9400
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 626-9400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
37360
CO
207Q00000X
Family Medicine Physician
Primary
MD00027639
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01373604
—
CO
Enumeration date
05/15/2006
Last updated
05/25/2021
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