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Individual

SEAN HAWKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5408 NE 29TH AVE, PORTLAND, OR 97211-6244
(503) 686-1786
Mailing address
5408 NE 29TH AVE, PORTLAND, OR 97211-6244
(503) 686-1786

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/23/2021
Last updated
04/23/2021
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