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Individual

MR. RICHARD WAYNE HAMMACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
930 SW ABBEY ST, NEWPORT, OR 97365-4820
(541) 574-1818
(541) 574-1831
Mailing address
930 SW ABBEY ST, NEWPORT, OR 97365-4820
(541) 574-1818
(541) 574-1831

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201603408NP-PP
OR
363LF0000X
Family Nurse Practitioner
53-78103
KS
363LF0000X
Family Nurse Practitioner
APN.0990879-NP
CO

Other

Enumeration date
09/06/2013
Last updated
03/17/2021
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