Individual
SHARON J. HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
5251 NE GLISAN ST, BLDG A, 2ND FLOOR, PORTLAND, OR 97213-3052
(503) 215-6285
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
200650081NP
OR
363L00000X
Nurse Practitioner
200650081NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200650081NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247522
—
OR
05
—
500656811
—
OR
Enumeration date
08/10/2006
Last updated
03/11/2021
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