Hawthorne, Wendy
Hawthorne, Wendy is an individual health care provider with primary practice located at 4510 Sw Hall Blvd , Beaverton OR 97005. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Hawthorne, Wendy can be contacted via phone (503) 644-1171.Contact Information
Primary practice address
4510 Sw Hall Blvd
Beaverton OR 97005
Phone: (503) 644-1171
Fax: (503) 643-7443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 090000324N3 | Oregon |
Profile Details
| NPI number | 1275585069 |
|---|---|
| LBN Legal business name | Hawthorne, Wendy |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275585069 | NPPES |
| Oregon | MEDICAID | 276415 | |
| Oregon | Other | 500011385 |
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