Provider Demographics
NPI:1184851735
Name:HAMILTON, ASHLEY KAY (DO)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:KAY
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1498 PACIFIC AVE
Mailing Address - Street 2:STE 400
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98402-4208
Mailing Address - Country:US
Mailing Address - Phone:855-768-6363
Mailing Address - Fax:253-682-1714
Practice Address - Street 1:1498 PACIFIC AVE
Practice Address - Street 2:STE 400
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-4208
Practice Address - Country:US
Practice Address - Phone:855-768-6363
Practice Address - Fax:253-682-1714
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP60463706207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine