Individual
JENNIFER S. HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4245 ROOSEVELT WAY NE, SEATTLE, WA 98105-6008
(206) 543-3690
(206) 685-3139
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-3690
(206) 685-3139
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA10004116
WA
363AS0400X
Surgical Physician Assistant
Primary
PA10004116
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0182771
LABOR & INDUSTRY
WA
01
—
71177U
REGENCE BLUESHIELD
WA
05
—
9319519
—
WA
Enumeration date
07/21/2006
Last updated
02/25/2010
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