Individual
MRS. MONIQUE LYNN HAWKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
11300 NE HALSEY ST STE 102, PORTLAND, OR 97220-2013
(503) 257-9881
Mailing address
4800 SE VIEWPOINT DR, TROUTDALE, OR 97060-4523
(503) 667-5660
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7353
OR
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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