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Individual

DR. NICHOLAS ALLEN HAMILTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8708
Mailing address
3181 SW SAM JACKSON PARK RD, CDW7, PORTLAND, OR 97239-3011
(503) 494-8708
(503) 494-6467

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2007016896
MO
2086S0120X
Pediatric Surgery Physician
FE161796
OR
2086S0120X
Pediatric Surgery Physician
Primary
MD171728
OR
2086S0120X
Pediatric Surgery Physician
MD42623
IA
2086S0120X
Pediatric Surgery Physician
MED-PHYS-LIC-66859
MT

Other

Enumeration date
03/21/2007
Last updated
04/18/2025
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