Individual
CHARLOTTE HAWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12123 SW 69TH AVE, TIGARD, OR 97223-8514
(971) 708-7600
(971) 371-5230
Mailing address
1498 SE TECH CENTER PL STE 240, VANCOUVER, WA 98683-5508
(360) 597-1313
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA157890
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018013
—
WA
05
—
500646365
—
OR
Enumeration date
04/25/2012
Last updated
05/16/2024
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