Individual
RAEANN DENISE HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 PROVIDENCE DR, PROVIDENCE NEWBERG MEDICAL CENTER, NEWBERG, OR 97132-7485
(503) 537-1555
Mailing address
505 S 336TH ST, SUITE, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD23844
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025349009
BSOR
OR
05
—
286428
—
OR
Enumeration date
06/08/2006
Last updated
09/09/2008
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