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NPI Code Detail

MEDICARE: CURTIS R HAWKINSON PA C

MEDICARE: CURTIS R HAWKINSON PA C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA00365OR

General Provider Information

NPI Number : 1619950599
Entity Type Code : Individual
Provider Name (Legal Business Name) : CURTIS R HAWKINSON PA C
Provider Business Mailing Address
First Line : 5050 SKYLINE VILLAGE LOOPS
Second Line :
City : SALEM
State : OR
Zip : 97306-9490
Country : US
Telephone Number : 503-391-1110
Fax Number : 503-370-4237
Provider Business Practice Location Address
First Line : 5050 SKYLINE VILLAGE LOOPS
Second Line :
City : SALEM
State : OR
Zip : 97306-9490
Country : US
Telephone Number : 503-391-1110
Fax Number : 503-370-4237
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2005
Last Update Date : 01/19/2012

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Directions to “ CURTIS R HAWKINSON PA C” Practice Location

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