Individual
MICHELLE HAWKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17675 S ABIQUA RD NE, SILVERTON, OR 97381-9129
(503) 507-3407
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(502) 627-7000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
01600366LPN
OR
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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