| Lorene Hamilton Do Pc | |
|
1819 Nebraska Ave Grants Pass OR 97527-5701 | |
| (541) 956-9085 | |
| (541) 956-9088 |
| Full Name | Lorene Hamilton Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1819 Nebraska Ave, Grants Pass, Oregon |
| Authorized Official Name and Position | Lorene L. Hamilton (PRESIDENT) |
| Authorized Official Contact | 5419569085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorene Hamilton Do Pc 1819 Nebraska Ave Grants Pass OR 97527-5701 Ph: (541) 956-9085 | Lorene Hamilton Do Pc 1819 Nebraska Ave Grants Pass OR 97527-5701 Ph: (541) 956-9085 |
| NPI Number | 1730414897 |
|---|---|
| Provider Enumeration Date | 10/07/2009 |
| Last Update Date | 09/09/2014 |
| Medicare PECOS PAC ID | 5092852574 |
|---|---|
| Medicare Enrollment ID | O20091103000127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730414897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | DO25529 (Oregon) | Secondary |
| Provider Name | Lorene L Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083617377 PECOS PAC ID: 6103864418 Enrollment ID: I20050418001228 |
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