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1669587317
MICHAEL JAMES HAWKINS
PORTLAND, OR
NPI
1669587317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: WA DO2165)
Enumeration Date
2006-08-21
Last Update Date
2007-07-08
Business Address
-- MICHAEL JAMES HAWKINS LDO
3600 N INTERSTATE AVE
PORTLAND, OR 97227-1106
Phone number: 503-249-3429
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Mailing Address
-- MICHAEL JAMES HAWKINS LDO
644 N RUSSET ST
PORTLAND, OR 97217-1452
Phone number: 503-544-6401
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