Provider Demographics
NPI:1639109044
Name:HAMILTON, GEORGE QUENTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:QUENTIN
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1707
Mailing Address - Street 2:
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015-1707
Mailing Address - Country:US
Mailing Address - Phone:971-236-9171
Mailing Address - Fax:971-236-9180
Practice Address - Street 1:8305 SE MONTEREY AVE
Practice Address - Street 2:#105
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97086-7725
Practice Address - Country:US
Practice Address - Phone:971-236-9175
Practice Address - Fax:971-236-9180
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR8454207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease