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General NPI Number Information
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NPI Number | 1821715285
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Entity Type | Individual
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Provider Name | TIMOTHY SCOTT HAMN ARNP, FNP-BC, CWS
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Gender | Male
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Dates
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Enumeration Date | 10/25/2022
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Last Update Date | 11/27/2025
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Provider Practice Location Address
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Address Line | 3846 NE MAYWOOD PL
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City | PORTLAND
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State | OR
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Zip | 97220-3645
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Country | US
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Telephone | 509-655-9562
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Fax | 321-425-8535
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Provider Business Mailing Address
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Address Line | 190 MEADOW PARK CT
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City | WOODLAND
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State | WA
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Zip | 98674-9490
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Country | US
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Telephone | 509-655-9562
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Fax | 321-425-8535
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 10004408
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 10004408
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP61369075
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License Number State | WA
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