Individual
RILEY CLARKE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1585 LIBERTY ST SE, SALEM, OR 97302-4345
(503) 589-0565
Mailing address
2244 NW OVERTON ST APT 3, PORTLAND, OR 97210-2989
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA195908
OR
Other
Enumeration date
01/12/2020
Last updated
10/20/2022
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