Individual
IAN ROBERT HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3837 S 12TH ST, TACOMA, WA 98405-2138
(253) 235-0156
Mailing address
3837 S 12TH ST, TACOMA, WA 98405-2138
(253) 235-0156
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WDL6NPB1SB
DRIVERS LICENSE
WA
Enumeration date
01/06/2022
Last updated
01/06/2022
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