Individual
MS. KIM HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2415 SE 43RD AVE, PORTLAND, OR 97206-1602
(503) 963-7773
Mailing address
3111 NE 46TH AVE, PORTLAND, OR 97213-1167
(971) 322-6863
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
093000313RN
OR
163WP0808X
Psychiatric/Mental Health Registered Nurse
093000313RN
OR
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/29/2006
Last updated
09/11/2025
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