Individual
JOAN KIRSTEN HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
3101 SE 192ND AVE STE 104, VANCOUVER, WA 98683-1443
(360) 553-7480
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
06464
OR
225100000X
Physical Therapist
Primary
PT60397519
WA
2251X0800X
Orthopedic Physical Therapist
06464
OR
Other
Enumeration date
06/18/2013
Last updated
04/16/2019
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