Provider Demographics
NPI:1467755439
Name:HAMMER, COURTNEY MELISSA (DC)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:MELISSA
Last Name:HAMMER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:MELISSA
Other - Last Name:WOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:17416 SR 9 SE, SUITE B
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98296
Mailing Address - Country:US
Mailing Address - Phone:541-740-1499
Mailing Address - Fax:541-740-1499
Practice Address - Street 1:17416 SR 9 SE, SUITE B
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98296
Practice Address - Country:US
Practice Address - Phone:541-740-1499
Practice Address - Fax:541-740-1499
Is Sole Proprietor?:No
Enumeration Date:2010-12-14
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60179151111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor