Individual
ELEANOR HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DEM, LDM, IBCLC
Contact information
Practice address
301 E 1ST ST, WALLOWA, OR 97885-8544
(541) 263-1724
Mailing address
PO BOX 564, WALLOWA, OR 97885-0564
(541) 263-1724
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
176B00000X
Midwife
Primary
DEM-LD-10180015
OR
Other
Enumeration date
02/21/2017
Last updated
01/19/2024
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