Individual
KIMRA WARREN HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-2460
(503) 216-2717
Mailing address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-2460
(503) 216-2717
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000362
OR
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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