Individual
JENNIFER LANE HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T
Contact information
Practice address
519 NW DIVISION ST, STE 220, GRESHAM, OR 97030-5527
(503) 666-7644
(503) 674-9980
Mailing address
16083 SW UPPER BOONES FERRY RD, STE. 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5530
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00866621
RR MEDICARE
OR
Enumeration date
10/04/2007
Last updated
11/08/2012
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