NPI 1285153932

Korey Vance Ham, MNFNPCAPRN

Practitioner Family Nurse Practitioner Baker City, OR

Practice location

Address: 1705 Main St APT 801, Baker City, OR 97814-3468
Phone: (541) 403-1132

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 201707560NP-PP (OR)

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Registry record

NPI: 1285153932
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Sep 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.