Individual
AMY HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3871 FAIRVIEW INDUSTRIAL DR SE STE 150, SALEM, OR 97302-1172
(503) 391-9762
Mailing address
3871 FAIRVIEW INDUSTRIAL DR SE STE 150, SALEM, OR 97302-1172
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201030421LPN
OR
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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