Individual
JUNE M. HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14279 GLEN OAK RD, STE 204, OREGON CITY, OR 97045-8008
(503) 631-4302
(503) 631-4035
Mailing address
20561 S ADAMS VISTA CT, OREGON CITY, OR 97045-7358
(503) 631-4302
(503) 631-4035
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
12758
OR
207K00000X
Allergy & Immunology Physician
Primary
MD12758
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009196
—
OR
01
—
12758
OREGON MEDICAL LICENSE
OR
01
—
838724000
BCBS - GROUP
OR
01
—
838724001
BCBS - INDIVIDUAL
OR
Enumeration date
11/22/2005
Last updated
03/07/2023
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