Individual
MR. WILTON LARRY HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1100 3RD ST, TILLAMOOK, OR 97141-3402
(503) 815-7561
Mailing address
1000 3RD ST, TILLAMOOK, OR 97141-3430
(503) 815-7561
(503) 815-7585
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
082012511RN
OR
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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