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Individual

MR. J ROGER HAMILTON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
3101 SE 192ND AVE, SUITE 104, VANCOUVER, WA 98683-1442
(360) 553-7480
(360) 553-7485
Mailing address
4805 NE GLISAN ST, SUITE 7E07, PORTLAND, OR 97213-2933
(503) 215-7078
(503) 215-6394

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
05/18/2007
Last updated
04/04/2013
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