MEDICARE: PAUL STEPHEN HAMMER MD

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	2084P0800X	Psychiatry Physician	G68990	CA
2	2084P0800X	Psychiatry Physician	MD60826325	WA

General Provider Information

NPI Number	:	1932180502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL STEPHEN HAMMER MD

Provider Business Mailing Address
First Line	:	1211 24TH ST
Second Line	:
City	:	ANACORTES
State	:	WA
Zip	:	98221-2562
Country	:	US
Telephone Number	:	360-299-1300
Fax Number	:

Provider Business Practice Location Address
First Line	:	2511 M AVE STE G
Second Line	:
City	:	ANACORTES
State	:	WA
Zip	:	98221-3897
Country	:	US
Telephone Number	:	360-299-4297
Fax Number	:	360-299-4294

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

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	08/05/2022

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Directions to “ PAUL STEPHEN HAMMER MD” Practice Location

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