Provider Demographics
NPI:1477783512
Name:HAMMIL, STEPHEN R (MA)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:R
Last Name:HAMMIL
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6041 36TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-7401
Mailing Address - Country:US
Mailing Address - Phone:206-522-2781
Mailing Address - Fax:
Practice Address - Street 1:1314 NE 43RD ST STE 213
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-5832
Practice Address - Country:US
Practice Address - Phone:206-856-9111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC60001471170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS