Provider Demographics
NPI:1265814347
Name:HAMPTON, ANDREA MARIA (RN)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:MARIA
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:ANDREA
Other - Middle Name:MARIA
Other - Last Name:BURKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9080 SW PINEBROOK ST
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97224-5838
Mailing Address - Country:US
Mailing Address - Phone:503-929-6781
Mailing Address - Fax:
Practice Address - Street 1:10345 SW MCDONALD ST
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97224-4854
Practice Address - Country:US
Practice Address - Phone:503-620-2960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-24
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201600969RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse