Individual
COLIN KIPP HAMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
330 S GARDEN WAY, SUITE 140, EUGENE, OR 97401
(541) 686-9750
(541) 485-5034
Mailing address
330 S GARDEN WAY, SUITE 140, EUGENE, OR 97401
(541) 686-9750
(541) 485-5034
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D6073
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190003094
PALMETTO
OR
05
—
212142
—
OR
Enumeration date
07/26/2006
Last updated
11/14/2017
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