TRACI DIANE HAMILTON NPI 1679056436

NPI Information

NPI: 1679056436
Provider Name: TRACI DIANE HAMILTON
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
9605 GRAND RONDE RD
GRAND RONDE, OR
ZIP 97347
Phone: (503) 879-2026
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Traci Diane Hamilton is a peer specialist in Grand Ronde, OR. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Traci Diane Hamilton NPI is 1679056436. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9605 GRAND RONDE RD
GRAND RONDE, OR
ZIP 97347-712
Phone: (503) 879-2026

The enumeration date for this NPI number is 9/7/2018 and was last updated on 10/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	T-23-2637	OREGON	No
2	175T00000X	Peer Specialist				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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