Hamada, Kenji

Hamada, Kenji is an individual health care provider with primary practice located at 1022 Nw 6Th Street , Grants Pass OR 97526. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hamada, Kenji can be contacted via phone (541) 476-4545.

Contact Information

Primary practice address
1022 Nw 6Th Street Grants Pass OR 97526
Fax: (541) 479-5985
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1181ATI Oregon

Profile Details

NPI number 1104910603
LBN Legal business name Hamada, Kenji
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104910603 NPPES
Oregon MEDICAID 086884

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