Provider Demographics
NPI:1245342989
Name:HAMMETT, LANETTE LEE (ANP)
Entity type:Individual
Prefix:
First Name:LANETTE
Middle Name:LEE
Last Name:HAMMETT
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:LANETTE
Other - Middle Name:LEE
Other - Last Name:HAMMETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10317 NE 82ND AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-1362
Mailing Address - Country:US
Mailing Address - Phone:360-903-3031
Mailing Address - Fax:
Practice Address - Street 1:2701 NW VAUGHN ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-5311
Practice Address - Country:US
Practice Address - Phone:503-499-5200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR078041160N3363LA2200X
WAAP30003388363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health