Hamilton, Traci Diane
Hamilton, Traci Diane is an sole proprietor health care provider with primary practice located at 9605 Grand Ronde Rd , Grand Ronde OR 97347-9712. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Hamilton, Traci Diane can be contacted via phone (503) 879-2026.Contact Information
Primary practice address
9605 Grand Ronde Rd
Grand Ronde OR 97347-9712
Phone: (503) 879-2026
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | T-23-2637 | Oregon |
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1679056436 |
|---|---|
| LBN Legal business name | Hamilton, Traci Diane |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2018 |
| Last updated | Oct 31st, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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