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1609516939
AUTUMN HAWKINS
PORTLAND, OR
NPI
1609516939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 015870)
Enumeration Date
2022-04-01
Last Update Date
2022-04-01
Business Address
AUTUMN HAWKINS
6516 NE SISKIYOU ST
PORTLAND, OR 97213-4572
Phone number: 503-568-1781
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Mailing Address
AUTUMN HAWKINS
3314 NE 15TH AVE
PORTLAND, OR 97212-2305
Phone number: 812-606-5270
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