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Contact Information

CHARLOTTE HAWS, PA-C
12123 SW 69TH AVE
TIGARD, OR97223-8514
 Phone: 971-708-7600
 Fax: 971-371-5230
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHARLOTTE HAWS · (Female)

NPI Number 1114285301
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 04/25/2012
Last updated 05/16/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • OR License # PA157890
  • OR Medicaid 500646365
  • WA Medicaid 2018013
Hospital affiliation(s)
  • LEGACY GOOD SAMARITAN MEDICAL CENTER - (Acute Care)
    1015 NW 22ND AVENUE, W121
    PORTLAND, OR 97210
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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