Individual
DR. CAROL CHRISTINE HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2613 NE MARTIN LUTHER KING JR BLVD, STE A, PORTLAND, OR 97212-3761
(505) 840-8560
Mailing address
PO BOX 55970, PORTLAND, OR 97238-5970
(505) 848-8560
(503) 296-2694
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1719
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201004027
PHP
NM
05
—
N0607
—
NM
01
—
NN900NK28
BCBS
—
Enumeration date
11/14/2006
Last updated
10/28/2016
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