Provider Demographics
NPI:1699284620
Name:HAWTHORNE, BENJAMIN JOHANNES (ND)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:JOHANNES
Last Name:HAWTHORNE
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:238 CHICKEN FARM LN
Mailing Address - Street 2:
Mailing Address - City:CASHMERE
Mailing Address - State:WA
Mailing Address - Zip Code:98815-4518
Mailing Address - Country:US
Mailing Address - Phone:509-670-9800
Mailing Address - Fax:509-684-2745
Practice Address - Street 1:10090 MAIN ST APT H
Practice Address - Street 2:
Practice Address - City:PESHASTIN
Practice Address - State:WA
Practice Address - Zip Code:98847-9770
Practice Address - Country:US
Practice Address - Phone:509-881-0722
Practice Address - Fax:833-450-1534
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-21
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60795218175F00000X, 175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath