Provider Demographics
NPI:1841446655
Name:HAWKINS, MAIYEN TRAN (DO)
Entity type:Individual
Prefix:DR
First Name:MAIYEN
Middle Name:TRAN
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4225 HOYT AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-2351
Mailing Address - Country:US
Mailing Address - Phone:425-259-3122
Mailing Address - Fax:425-252-9860
Practice Address - Street 1:4225 HOYT AVE
Practice Address - Street 2:SUITE A
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-2351
Practice Address - Country:US
Practice Address - Phone:425-259-3122
Practice Address - Fax:425-252-9860
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2013-06-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DC134871207R00000X
WAOP60366994207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine