| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TRACY HAMBLIN | 1073839817 | 2023-05-07 |
Tracy Hamblin [F] graduated in 2010 from University Of Utah School Of Medicine and primarily specializes in Sports Medicine.
Tracy Hamblin is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1073839817. Registration indicates Tracy Hamblin is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Physical Medicine & Rehabilitation (Physical Medicine & Rehabilitation: Sports Medicine, ) (Specialist Network, ) (Physical Medicine & Rehabilitation Sports Medicine, Allopathic & Osteopathic Physicians) (Physical Medicine & Rehabilitation, ) (Allopathic & Osteopathic Physicians, Orthopaedic Surgery) (Orthopaedic Surgery: Sports Medicine, ) (Specialist Network, ) (Orthopaedic Surgery Sports Medicine, Allopathic & Osteopathic Physicians) (Orthopaedic Surgery, ) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine: Sports Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine Sports Medicine, Allopathic & Osteopathic Physicians) (Family Medicine, )
| PECOS ID | 8022237676 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Tracy Hamblin M.D. |
| Practice Office Address | 3901 CAPITAL MALL DR SW OLYMPIA, WA US |
| Practice Office Telephone | 8009363386 |
| Practice Office Fax | 3607869010 |
| Mailing Address | PO BOX 368 OLYMPIA, WA 985070368 US |
| Business Telephone | 3154917790 |
| Code | Practice | License No State |
|---|---|---|
| 2081S0010X | Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation: Sports Medicine Specialist Network Physical Medicine & Rehabilitation Sports Medicine Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation | T8117
TX |
| 207XX0005X PRIMARY | Allopathic & Osteopathic Physicians Orthopaedic Surgery Orthopaedic Surgery: Sports Medicine Specialist Network Orthopaedic Surgery Sports Medicine Allopathic & Osteopathic Physicians Orthopaedic Surgery | MD60450293
WA |
| 207QS0010X | Allopathic & Osteopathic Physicians Family Medicine Family Medicine: Sports Medicine Primary Care/Family Planning/APRN/PA Family Medicine Sports Medicine Allopathic & Osteopathic Physicians Family Medicine | T8117
TX |