Individual
MONTANA HAWKSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
925 SENECA ST, SEATTLE, WA 98101-2742
(206) 341-1637
(206) 233-7555
Mailing address
17051 13TH AVE NE, SHORELINE, WA 98155-5121
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2025
Last updated
07/17/2025
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