Individual
CHRISTINA HAMMOND VIETOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
100 FODEN RD, EAST, SUITE 203, SOUTH PORTLAND, ME 04106-1316
(207) 874-1489
(207) 523-8590
Mailing address
100 GANNETT DR, SUITE C, SOUTH PORTLAND, ME 04106-5900
(207) 828-0361
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2610
ME
207Q00000X
Family Medicine Physician
OP60562552
WA
Other
Enumeration date
06/07/2012
Last updated
09/24/2020
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