Provider Demographics
NPI:1801803390
Name:HAMNER, ALBERT PATTON (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:PATTON
Last Name:HAMNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7233 W DESCHUTES AVE, SUITE B
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336
Mailing Address - Country:US
Mailing Address - Phone:509-946-4631
Mailing Address - Fax:509-943-6065
Practice Address - Street 1:7233 W DESCHUTES AVE, SUITE B
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336
Practice Address - Country:US
Practice Address - Phone:509-946-4631
Practice Address - Fax:509-943-6065
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00025682207R00000X, 207RP1001X, 261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1065242Medicaid
290003475OtherRAILROAD MEDICARE
HA9857OtherREGENCE BLUE SHIELD
HA9857OtherREGENCE BLUE SHIELD
000304332Medicare ID - Type Unspecified