Basic Information
| Provider Information | |||||||||
| NPI: | 1184851735 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HAMILTON | ||||||||
| FirstName: | ASHLEY | ||||||||
| MiddleName: | KAY | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1498 PACIFIC AVE | ||||||||
| Address2: | STE 400 | ||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984024208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8557686363 | ||||||||
| FaxNumber: | 2536821714 | ||||||||
| Practice Location | |||||||||
| Address1: | 1498 PACIFIC AVE | ||||||||
| Address2: | STE 400 | ||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984024208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8557686363 | ||||||||
| FaxNumber: | 2536821714 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/22/2009 | ||||||||
| LastUpdateDate: | 01/06/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | OP60463706 | WA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.