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NPI Code Detail

MEDICARE: VALERIE HEMMINGER

MEDICARE:   VALERIE  HEMMINGER
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
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1841726791
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIE HEMMINGER
Provider Business Mailing Address
First Line : 715 SW RAMSEY AVE
Second Line :
City : GRANTS PASS
State : OR
Zip : 97527-5500
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4385 SUNNYVIEW RD NE
Second Line :
City : SALEM
State : OR
Zip : 97305-1869
Country : US
Telephone Number : 503-400-3340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2017
Last Update Date : 05/11/2017

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Directions to “ VALERIE HEMMINGER ” Practice Location

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