MEDICARE: MICHELLE NICOLE HAMM INTERN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1316882525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE NICOLE HAMM INTERN

Provider Business Mailing Address
First Line	:	3815 S 6TH ST
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97603-4759
Country	:	US
Telephone Number	:	541-205-6750
Fax Number	:

Provider Business Practice Location Address
First Line	:	3815 S 6TH ST
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97603-4759
Country	:	US
Telephone Number	:	541-205-6750
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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Directions to “ MICHELLE NICOLE HAMM INTERN” Practice Location

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