Individual
MICHELLE HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
939 MOUNTAIN VIEW DR, SHELTON, WA 98584-4410
(360) 426-2653
Mailing address
1300 N 12TH ST, SUITE 605, PHOENIX, AZ 85006-2848
(602) 839-4567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60960781
WA
Other
Enumeration date
06/02/2015
Last updated
08/07/2019
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