Individual
DR. JASON EZRA HAWKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
1750 S HARBOR WAY STE 330, PORTLAND, OR 97201-5134
(503) 245-1525
(503) 245-0315
Mailing address
1750 S HARBOR WAY STE 330, PORTLAND, OR 97201-5134
(503) 245-1525
(503) 245-0315
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD220929
OR
Other
Enumeration date
04/18/2011
Last updated
08/02/2024
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