Individual provider · NPI-1

Jeffrey D. Hambleton, MD

Family Medicine · Monroe, WA

NPI number1750482345
StatusActive
Last updated in NPPESFeb 4, 2015

Details

NPI
1750482345
Entity type
Individual (NPI-1)
Name
Jeffrey D. Hambleton
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 26, 2006
Last updated
Feb 4, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD00017488WAYes

Practice location

19200 N Kelsey St
Suite 100
Monroe, WA 98272-1431

Phone 360-794-7994 · Fax 360-805-4755

Mailing address

Po Box 3360
Portland, OR 97208-3360

Phone 866-366-2983

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