Provider Demographics
NPI:1881357358
Name:HAWKINS, KARMEN OUSHIAL
Entity type:Individual
Prefix:
First Name:KARMEN
Middle Name:OUSHIAL
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11712 SE POWELL BLVD APT 17
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97266-1666
Mailing Address - Country:US
Mailing Address - Phone:503-875-8809
Mailing Address - Fax:
Practice Address - Street 1:11712 SE POWELL BLVD APT 17
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97266-1666
Practice Address - Country:US
Practice Address - Phone:503-875-8809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-20
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR114655172V00000X, 175T00000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No172V00000XOther Service ProvidersCommunity Health Worker
No374J00000XNursing Service Related ProvidersDoula