KIMRA WARREN HAWK

PORTLAND, OR
NPI1154753267
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OR  000362)
Enumeration Date2013-07-31
Last Update Date2013-07-31
Business Address
-- KIMRA WARREN HAWK RD, LD
9205 SW BARNES RD
PORTLAND, OR 97225-6603
Phone number: 503-216-2460
Mailing Address
-- KIMRA WARREN HAWK RD, LD
9205 SW BARNES RD
PORTLAND, OR 97225-6603
Phone number: 503-216-2460