Provider Demographics
NPI:1700998499
Name:HAMRE, ROBERT (ATC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:HAMRE
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2205 WALL ST
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-3761
Mailing Address - Country:US
Mailing Address - Phone:425-512-8695
Mailing Address - Fax:425-512-8697
Practice Address - Street 1:2000 HEWITT AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201
Practice Address - Country:US
Practice Address - Phone:425-252-3908
Practice Address - Fax:425-252-7940
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA600771522255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer