Provider Demographics
NPI:1700484631
Name:HAMPTON, DANA MARIE (DNP, FNP-C)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:MARIE
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 143
Mailing Address - Street 2:
Mailing Address - City:ECHO
Mailing Address - State:OR
Mailing Address - Zip Code:97826-0143
Mailing Address - Country:US
Mailing Address - Phone:541-571-2465
Mailing Address - Fax:
Practice Address - Street 1:2474 SW PERKINS AVE
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-4302
Practice Address - Country:US
Practice Address - Phone:541-276-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR202008125NP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily