Provider Demographics
NPI:1588816193
Name:HAMLIN, AMBER BRIDGET (LMP)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:BRIDGET
Last Name:HAMLIN
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:BRIDGET
Other - Last Name:CHORVAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMP
Mailing Address - Street 1:505 N ARGONNE RD
Mailing Address - Street 2:BLDG B SUITE BL-2
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99212-2869
Mailing Address - Country:US
Mailing Address - Phone:509-475-9174
Mailing Address - Fax:
Practice Address - Street 1:505 N ARGONNE RD
Practice Address - Street 2:BLDG B SUITE BL-2
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99212-2869
Practice Address - Country:US
Practice Address - Phone:509-475-9174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-14
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00013238172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist