Individual
RANDY HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 SERENITY LN, COBURG, OR 97408-9350
(541) 232-5098
Mailing address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 684-4148
(541) 762-0606
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
05/25/2016
Last updated
04/03/2025
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