Provider Demographics
NPI:1265671648
Name:HAMM, JONATHAN M
Entity Type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:M
Last Name:HAMM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:951 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SILVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97381-1265
Mailing Address - Country:US
Mailing Address - Phone:503-874-8600
Mailing Address - Fax:503-873-1479
Practice Address - Street 1:951 N 2ND ST
Practice Address - Street 2:
Practice Address - City:SILVERTON
Practice Address - State:OR
Practice Address - Zip Code:97381-1265
Practice Address - Country:US
Practice Address - Phone:503-874-8600
Practice Address - Fax:503-873-1479
Is Sole Proprietor?:No
Enumeration Date:2009-02-09
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORHASP10126587237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist