Individual
VIRGINIA M HAWES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2570 NW EDENBOWER BLVD, SUITE 100, ROSEBURG, OR 97470-6220
(541) 957-1111
(541) 957-5705
Mailing address
2570 NW EDENBOWER BLVD STE 100, ROSEBURG, OR 97471-6214
(541) 957-1111
(541) 957-5705
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD23508
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000188023
IND BLUE CROSS
OR
01
—
0200166
IND INDUSTRAIL WA STATE
WA
05
—
226989
—
OR
01
—
930045112
IND RAILROAD
OR
Enumeration date
02/08/2006
Last updated
12/11/2009
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