Provider Demographics
NPI:1598756678
Name:HAMILTON, ERNEST E (DC)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:E
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17450 SE TEN EYCK RD
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:OR
Mailing Address - Zip Code:97055-8514
Mailing Address - Country:US
Mailing Address - Phone:503-668-6807
Mailing Address - Fax:503-668-6873
Practice Address - Street 1:17450 SE TEN EYCK RD
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:OR
Practice Address - Zip Code:97055-8514
Practice Address - Country:US
Practice Address - Phone:503-668-6807
Practice Address - Fax:503-668-6873
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1671111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor