Individual
CHRISTIE HAWKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3001 N GANTENBEIN AVE, PORTLAND, OR 97227-1530
(503) 413-4698
Mailing address
3001 N GANTENBEIN AVE, PORTLAND, OR 97227-1530
(503) 413-4698
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4872
OR
1041C0700X
Clinical Social Worker
Primary
4872
OR
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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