Individual
LAUREN HAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM LDM
Contact information
Practice address
19000 SW KINNAMAN RD, ALOHA, OR 97078-2455
(503) 443-0522
Mailing address
19000 SW KINNAMAN RD, ALOHA, OR 97078-2455
(503) 443-0522
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-10232485
OR
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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