Individual
MRS. AMBER MARIE HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
946 SE UGLOW AVE, DALLAS, OR 97338-2643
(503) 831-1001
Mailing address
946 SE UGLOW AVE, DALLAS, OR 97338-2643
(503) 831-1001
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14176
OR
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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