Individual
MAY HAWTHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
833 NW BUCHANAN AVE STE 8, CORVALLIS, OR 97330-6217
(831) 888-7853
Mailing address
833 NW BUCHANAN AVE STE 8, CORVALLIS, OR 97330-6217
(831) 888-7853
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24612
OR
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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