| Doctor Name: | TRAVIS THERON HAMPTON |
| NPI Number: | 1184937435 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | DP170092 |
| Business Practice Address: | 1408 N Hall St La Grande, OR - 978503807 |
| Business Phone Number: | 5419630265 |
| Business Fax Number: | 5419636176 |
| Mailing Address: | 1408 N Hall St, LA GRANDE |
| State: | OR |
| Postal Code: | 978503807 |
| Phone Number: | 5419630265 |
| Fax Number: | 5419636176 |
| NPI Enumeration Date: | 07/15/2010 |
| NPI Last Update Date: | 02/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | DP170092 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |