Individual
KELLIE HAWKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D
Contact information
Practice address
1000 N PROVIDENCE DR STE 220, NEWBERG, OR 97132-7582
(503) 537-1863
Mailing address
3857 WOLVERINE ST NE STE 16C, SALEM, OR 97305-4270
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
030959
OR
231H00000X
Audiologist
—
—
Other
Enumeration date
09/26/2019
Last updated
08/06/2024
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