Individual
MICHELLE HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3857 SW HALL BLVD, BEAVERTON, OR 97005-2049
(503) 810-7547
Mailing address
6664 SW SUSSEX ST, BEAVERTON, OR 97008-5293
(503) 477-2998
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01072
OR
Other
Enumeration date
03/30/2007
Last updated
03/07/2019
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