Individual provider Active NPI

Timothy Scott Hamn, NP, FNP-BC, CWS

  • Family Nurse Practitioner
  • Gladstone, OR
National Provider Identifier
1821715285
Registry record updated Jun 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10004408 Issued in OR
Practice address
305 E Clarendon St
Gladstone, OR 97027-2431
Phone
(509) 655-9562
Fax
(321) 425-8535
NPI assigned
Oct 25, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 10004408 OR Primary
Nurse Practitioner 363L00000X 10004408 OR
Nurse Practitioner 363L00000X AP61369075 WA

Addresses

Primary practice location

305 E Clarendon St
Gladstone, OR 97027-2431

Mailing address

305 E Clarendon St
Gladstone, OR 97027-2431
Phone (509) 655-9562

Other practice location 1

190 Meadow Park Ct
Woodland, WA 98674-9490
Phone (509) 655-9562

Other names 1

  • Timothy Scott Hamn Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230126003010 WA Practitioner - Nurse Practitioner 1951772078 Practice locations: Woodland, WA
I20241002003485 OR Practitioner - Nurse Practitioner 1951772078 Practice locations: Gladstone, OR

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

190 Meadow Park CT
Woodland, WA 98674-9490
Phone (509) 655-9562

305 E Clarendon St
Gladstone, OR 97027-2431
Phone (509) 655-9562

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10004408ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athena Medical Group Multi-Specialty CurrentSince Jun 30, 2025 Accepting new patients
Timothy Hamn Nurse Practitioner CurrentSince Sep 8, 2025 Accepting new patients
Total Health Chiropractic Multi-Specialty PastSince Sep 8, 2025 Accepting new patients

Locations

16515 S 40th St
Ste 143
Phoenix, AZ 85048
Phone (602) 753-8012

2355 State St
Ste 101
Salem, OR 97301
Phone (503) 383-9039

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781308800000",
    "number": "1821715285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E CLARENDON ST",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272431",
            "telephone_number": "509-655-9562",
            "fax_number": "321-425-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E CLARENDON ST",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272431",
            "telephone_number": "509-655-9562",
            "fax_number": "321-425-8535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Meadow Park Ct",
            "address_purpose": "LOCATION",
            "city": "Woodland",
            "state": "WA",
            "postal_code": "986749490",
            "country_code": "US",
            "telephone_number": "509-655-9562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMN",
        "first_name": "TIMOTHY",
        "middle_name": "SCOTT",
        "credential": "NP, FNP-BC, CWS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-25",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10004408",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10004408",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61369075",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIMOTHY",
            "last_name": "HAMN",
            "middle_name": "SCOTT",
            "credential": "NP, FNPBC, FNPC, CWS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gladstone, OR

Sources for this page

Verify at the official NPI Registry.