Individual
KAMI HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
6475 SW BORLAND RD STE F, TUALATIN, OR 97062-9708
(503) 692-7617
Mailing address
1040 NW 22ND AVE STE 520, PORTLAND, OR 97210-3097
(503) 413-7557
(503) 413-6547
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-000659
OR
174H00000X
Health Educator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD-D-000569
LICENSE
OR
Enumeration date
06/19/2018
Last updated
04/22/2019
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