Healthcare Provider Details

I. General information

NPI: 1477605756
Provider Name (Legal Business Name): JANET MARY HAMMER RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

566 NIGHT HAWK LN
SPRINGFIELD OR
97477-2741
US

IV. Provider business mailing address

PO BOX 7012
EUGENE OR
97401-0001
US

V. Phone/Fax

Practice location:
  • Phone: 541-554-3650
  • Fax: 541-726-2457
Mailing address:
  • Phone: 541-554-3650
  • Fax: 541-726-2457

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: