Individual
MRS. REBECCA ANN HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4805 NE GLISAN ST, 7E, PORTLAND, OR 97213-2933
(503) 215-6059
Mailing address
4805 NE GLISAN ST, 7E, PORTLAND, OR 97213-2933
(503) 215-6059
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
0970
OR
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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