Active NPI
George Quentin Hamilton, MD
- Cardiovascular Disease Physician
- Portland, OR
National Provider Identifier
1639109044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 8454
- Practice address
- 8305 SE Monterey Ave
#105
Portland, OR 97086-7725 - Phone
- (971) 236-9175
- Fax
- (971) 236-9180
- NPI assigned
- Jul 3, 2006
- Last updated
- Apr 12, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 8454 | OR | Primary |
Addresses
Primary practice location
8305 SE Monterey Ave
#105
Portland, OR 97086-7725
Mailing address
PO Box 1707
Clackamas, OR 97015-1707
Phone (971) 236-9171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8454 | OR | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthmark Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334188800000",
"number": "1639109044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1707",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970151707",
"telephone_number": "971-236-9171",
"fax_number": "971-236-9180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8305 SE MONTEREY AVE",
"address_2": "#105",
"city": "PORTLAND",
"state": "OR",
"postal_code": "970867725",
"telephone_number": "971-236-9175",
"fax_number": "971-236-9180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "GEORGE",
"middle_name": "QUENTIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2012-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OR",
"license": "8454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.