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Individual

MR. NICHOLAS CRAIG HAMBLETON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.S.

Contact information

Practice address
1500 NE IRVING ST, SUITE 250, PORTLAND, OR 97232-2243
(503) 233-4356
Mailing address
1515 SE 33RD AVE, PORTLAND, OR 97214-5020
(503) 328-0426
(503) 542-2242

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
12/11/2007
Last updated
12/11/2007
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