Provider Demographics
NPI:1295092765
Name:HAMILL, BETTY J (DNP, ARNP, FNP-C)
Entity type:Individual
Prefix:MS
First Name:BETTY
Middle Name:J
Last Name:HAMILL
Suffix:
Gender:F
Credentials:DNP, ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2556 COLUMBIA BLVD APT B1
Mailing Address - Street 2:
Mailing Address - City:SAINT HELENS
Mailing Address - State:OR
Mailing Address - Zip Code:97051-2794
Mailing Address - Country:US
Mailing Address - Phone:503-410-4108
Mailing Address - Fax:
Practice Address - Street 1:2556 COLUMBIA BLVD APT B1
Practice Address - Street 2:
Practice Address - City:SAINT HELENS
Practice Address - State:OR
Practice Address - Zip Code:97051-2794
Practice Address - Country:US
Practice Address - Phone:503-410-4108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-20
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61350628363LF0000X
OR201408155NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily