Individual
DR. JEFFERY S HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8900 SW OMARA ST, TIGARD, OR 97223-6005
(503) 620-6555
Mailing address
PO BOX 1993, TUALATIN, OR 97062-1993
(503) 620-6555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1818
OR
111NI0013X
Independent Medical Examiner Chiropractor
1818
OR
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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