Individual
MS. LISA EILEEN HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1427 NW 23RD AVE STE 8, PORTLAND, OR 97210-2660
(503) 241-7709
Mailing address
1427 NW 23RD AVE STE 8, PORTLAND, OR 97210-2660
(503) 241-7709
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3527
OR
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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