Individual
MS. MICHELLE COREEN HAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D. L.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-3763
(503) 494-3769
Mailing address
780 SW SCOTSMAN CT, DUNDEE, OR 97115-9542
(503) 494-3763
(503) 494-3769
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
491
OR
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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