Healthcare Provider Details

I. General information

NPI: 1548238603
Provider Name (Legal Business Name): VIRGINIA L. HAWLEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 01/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24769 NW WEST UNION RD
HILLSBORO OR
97124-8527
US

IV. Provider business mailing address

24769 NW WEST UNION RD
HILLSBORO OR
97124-8527
US

V. Phone/Fax

Practice location:
  • Phone: 503-647-5510
  • Fax: 503-647-9364
Mailing address:
  • Phone: 503-647-5510
  • Fax: 503-647-9364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD08685
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: