Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Traci Diane Hamilton

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1679056436

Traci Diane Hamilton is an Addiction (Substance Use Disorder) Counselor in Grand Ronde, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712
Phone: (503) 879-2026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence T-23-2637 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence 24-QMHA-I-004507 (OR)

Record details

NPI number1679056436
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 7, 2018
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024
Mailing address9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712

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