Individual
MEGHAN JEAN HAWKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
17471 SHELLEY AVE, SUITE B, SANDY, OR 97055-8084
(503) 668-1901
(503) 668-1902
Mailing address
17471 SHELLEY AVE, SUITE B, SANDY, OR 97055-8084
(503) 668-1901
(503) 668-1902
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12617
OR
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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