Active NPI
June M. Hawkins, MD
- Allergy & Immunology Physician
- Oregon City, OR
National Provider Identifier
1104809276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- MD12758
- Practice address
- 14279 Glen Oak Rd
Ste 204
Oregon City, OR 97045-8008 - Phone
- (503) 631-4302
- Fax
- (503) 631-4035
- NPI assigned
- Nov 22, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 12758 | OR | |
| Allergy & Immunology Physician | 207K00000X | MD12758 | OR | Primary |
Addresses
Primary practice location
14279 Glen Oak Rd
Ste 204
Oregon City, OR 97045-8008
Mailing address
20561 S Adams Vista CT
Oregon City, OR 97045-7358
Phone (503) 631-4302
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009196 | Medicaid | OR | |
| 838724001 | Other | OR | BCBS - INDIVIDUAL |
| 12758 | Other | OR | OREGON MEDICAL LICENSE |
| 838724000 | Other | OR | BCBS - GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12758 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Asthma Clinic PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Oregon City, OR
- NPI 1669429262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1104809276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20561 S ADAMS VISTA CT",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970457358",
"telephone_number": "503-631-4302",
"fax_number": "503-631-4035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14279 GLEN OAK RD",
"address_2": "STE 204",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970458008",
"telephone_number": "503-631-4302",
"fax_number": "503-631-4035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "JUNE",
"middle_name": "M.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-22",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "12758",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "OR",
"license": "MD12758",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009196",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - INDIVIDUAL",
"identifier": "838724001",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON MEDICAL LICENSE",
"identifier": "12758",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - GROUP",
"identifier": "838724000",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.