NPI 1104655885 · live from the CMS NPI Registry
Kara Lynn Hawkes, RN BSN
Registered Nurse, Gerontology in Salem, OR. National Provider Identifier 1104655885, active.
NPI record
| NPI | 1104655885 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Gerontology 163WG0600X |
| Practice location | 1955 Salem Dallas Hwy Nw, Salem, OR 97304 |
| Practice phone | 503-375-5902 |
| Enumerated | July 30, 2024 |
| Last updated | July 30, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Gerontology primary | 163WG0600X | 201903665 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.