| Doctor Name: | MR. J ROGER HAMILTON |
| NPI Number: | 1285842526 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | |
| Business Practice Address: | 3101 Se 192nd Ave Suite 104 Vancouver, WA - 986831442 |
| Business Phone Number: | 3605537480 |
| Business Fax Number: | 3605537485 |
| Mailing Address: | 4805 Ne Glisan St, Suite 7e07 PORTLAND |
| State: | OR |
| Postal Code: | 972132933 |
| Phone Number: | 5032157078 |
| Fax Number: | 5032156394 |
| NPI Enumeration Date: | 05/18/2007 |
| NPI Last Update Date: | 04/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |