| Doctor Name: | MRS. ALICE DARLENE HAMILTON |
| NPI Number: | 1063593309 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.N.P |
| License Number: | OR 000041071N2 |
| Business Practice Address: | 22300 Sw Boones Ferry Rd Tualatin, OR - 970627373 |
| Business Phone Number: | 5034315975 |
| Business Fax Number: | 5034315976 |
| Mailing Address: | 22300 Sw Boones Ferry Rd, TUALATIN |
| State: | OR |
| Postal Code: | 970627373 |
| Phone Number: | 5034315975 |
| Fax Number: | 5034315976 |
| NPI Enumeration Date: | 10/17/2006 |
| NPI Last Update Date: | 12/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | OR 000041071N2 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |