Organization
TRAVIS T HAMPTON DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS THERON HAMPTON DPM (PODIATRIST)
(541) 963-0265
Entity
Organization
Contact information
Practice address
1408 N HALL ST, LA GRANDE, OR 97850-3807
(541) 963-0265
(541) 963-6176
Mailing address
1408 N HALL ST, LA GRANDE, OR 97850-3807
(541) 963-0265
(541) 963-6176
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
DP170092
OR
332B00000X
Durable Medical Equipment & Medical Supplies
DP170092
OR
332BC3200X
Customized Equipment (DME)
DP170092
OR
Other
Enumeration date
05/13/2015
Last updated
05/21/2015
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