Individual
GABRIELLA NICOLE HAMMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1118 OAK ST SE, SALEM, OR 97301-4019
(503) 585-4949
Mailing address
2178 NAVAHO CT SE, SALEM, OR 97306-2614
(503) 989-9839
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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