Provider Demographics
NPI:1285842526
Name:HAMILTON, J ROGER JR (PT)
Entity type:Individual
Prefix:MR
First Name:J
Middle Name:ROGER
Last Name:HAMILTON
Suffix:JR
Gender:M
Credentials:PT
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Mailing Address - Street 1:4805 NE GLISAN ST
Mailing Address - Street 2:SUITE 7E07
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-2933
Mailing Address - Country:US
Mailing Address - Phone:503-215-7078
Mailing Address - Fax:503-215-6394
Practice Address - Street 1:3101 SE 192ND AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-1442
Practice Address - Country:US
Practice Address - Phone:360-553-7480
Practice Address - Fax:360-553-7485
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2013-04-04
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist