Individual
RAE HAMMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2406 W LUELLEN DR, ROSEBURG, OR 97471-2644
(541) 670-3117
Mailing address
2406 W LUELLEN DR, ROSEBURG, OR 97471-2644
(541) 670-3117
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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