Brittney Doreen Hamilton

Individual provider Active NPI Massage Therapist · Philomath, OR

NPI 1598024085 · NPPES record last updated May 3, 2012

Key facts

NPI
1598024085
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
18925 (OR)
Practice address
1730 Pioneer St
Philomath, OR 97370-9226
Phone
(541) 740-0403
Fax
(541) 929-2630
NPI assigned
May 3, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
18925ORMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 18925 OR Yes

Addresses

Primary practice location

1730 Pioneer St
Philomath, OR 97370-9226

Mailing address

1730 Pioneer St
Philomath, OR 97370-9226
Phone (541) 740-0403

Other providers in Philomath, OR

All providers in Philomath, OR · Massage Therapist in Oregon

Sources for this page

Verify at the official NPI Registry.