Individual
MS. DORIS ELAINE HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 758-5900
Mailing address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 758-5900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
080044915
OR
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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