Lavonna Cleopatra Hamilton

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

3741 SE 127TH PL
Portland, OR 97236-3296

Phone

(503) 960-2005

NPI assigned

Nov 18, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Red Hamilton Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1235896754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3741 SE 127TH PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972363296",
            "telephone_number": "503-512-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3741 SE 127TH PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972363296",
            "telephone_number": "503-960-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "LAVONNA",
        "middle_name": "CLEOPATRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RED",
            "last_name": "HAMILTON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kaitlyn Hamilton
• Katherine Hamilton, PTA
• Kim Hamilton, RN
• Kori Rae Hamilton
• Laura E Hamilton
• Lisa Eileen Hamilton, LMT
• Lynette Dawn Hamilton, PSYD, ABPP
• Mary Maureen Hamilton
• Nicholas Allen Hamilton, M.D.
• Norman Gregory Hamilton, M.D.

• Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.