Traci Diane Hamilton, is a
Peer Specialist based in Grand Ronde, Oregon. Traci Diane Hamilton is licensed to practice in * (Not Available) (license number ) and her current practice location is
9605 Grand Ronde Rd, Grand Ronde, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 879-2026.
NPI number for Traci Diane Hamilton is 1679056436 and her current mailing address is 9605 Grand Ronde Rd, Grand Ronde, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679056436.
Healthcare Provider's Profile
Full Name | Traci Diane Hamilton |
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Gender | Female |
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Speciality | Peer Specialist |
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Location | 9605 Grand Ronde Rd, Grand Ronde, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679056436
- Provider Enumeration Date: 09/07/2018
- Last Update Date: 07/24/2024
Medical Identifiers
Medical identifiers for Traci Diane Hamilton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679056436 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | T-23-2637 (Oregon) | Secondary |
101YM0800X | Counselor - Mental Health | 24-QMHA-I-004507 (Oregon) | Secondary |
175T00000X | Peer Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Traci Diane Hamilton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Traci Diane Hamilton, 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2026 | Traci Diane Hamilton, 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2026 |
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