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1821715285 NPI number — TIMOTHY SCOTT HAMN ARNP, FNP-BC, CWS

NPI Number: 1821715285
Health Care Provider/Practitioner: TIMOTHY SCOTT HAMN ARNP, FNP-BC, CWS

Information about “1821715285” NPI (TIMOTHY SCOTT HAMN ARNP, FNP-BC, CWS) exists in 1821715285 in HTML format HTML  |  1821715285 in plain Text format TXT  |  1821715285 in PDF (Portable Document Format) PDF  |  1821715285 in an XML format XML  formats.

NPI Number : 1821715285 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821715285",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HAMN",
    "FirstName": "TIMOTHY",
    "MiddleName": "SCOTT",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ARNP, FNP-BC, CWS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HAMN",
    "OtherFirstName": "TIMOTHY",
    "OtherMiddleName": "SCOTT",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "NP, FNPBC, FNPC, CWS",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "190 MEADOW PARK CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WOODLAND",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98674-9490",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "509-655-9562",
    "MailingAddressFaxNumber": "321-425-8535",
    "FirstLinePracticeLocationAddress": "3846 NE MAYWOOD PL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORTLAND",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97220-3645",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "509-655-9562",
    "PracticeLocationAddressFaxNumber": "321-425-8535",
    "EnumerationDate": "10/25/2022",
    "LastUpdateDate": "11/27/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "10004408",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "10004408",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "AP61369075",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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