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Contact Information

SAM U HAWTHORN, LDM, LM
3205 NE 78TH ST STE 101
VANCOUVER, WA98665-0697
 Phone: 503-395-4736
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Midwife

176B00000X
Indicates primary specialty

NPI Profile & details for SAM U HAWTHORN · (Female)

NPI # 1073764536
Status Active
Credentials LDM, LM
Entity Individual
Enumeration date 10/02/2008
Last updated 02/16/2026 - About 4 months ago
Sole proprietor 1 Yes
Identifiers
  • OR License # DEM-LD-10160095
  • WA License # MW60477681
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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