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1922445394
ANNALISA COLLEEN HAWTHORNE
NEWBERG, OR
NPI
1922445394
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Former Name
ANNALISA COLEEN WOOD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR DO172429)
Enumeration Date
2013-05-26
Last Update Date
2021-03-15
Business Address
ANNALISA COLLEEN HAWTHORNE D.O.
1000 N PROVIDENCE DR STE 210
NEWBERG, OR 97132-7582
Phone number: 503-537-5900
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Mailing Address
ANNALISA COLLEEN HAWTHORNE D.O.
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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