| NPI | 1467601096 |
|---|---|
| Doing Business As | HAWTHORNE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | BRYAN DEAN WALLS Physician 503-963-9181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO20625) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |