Provider Demographics
NPI:1932796067
Name:HWA, CASSANDRA LIAN (DNP, CNM, CMSRN)
Entity type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:LIAN
Last Name:HWA
Suffix:
Gender:F
Credentials:DNP, CNM, CMSRN
Other - Prefix:DR
Other - First Name:CASSIE
Other - Middle Name:
Other - Last Name:HWA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DNP, RN, CMSRN
Mailing Address - Street 1:1400 SW 5TH AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97201-5537
Mailing Address - Country:US
Mailing Address - Phone:866-617-6855
Mailing Address - Fax:503-346-8015
Practice Address - Street 1:3181 SW SAM JACKSON PARK RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3011
Practice Address - Country:US
Practice Address - Phone:503-418-4500
Practice Address - Fax:503-494-3878
Is Sole Proprietor?:No
Enumeration Date:2020-12-22
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201804107RN163WM0705X
OR10014067367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical