Individual
DR. JEFFREY BENTON HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
(503) 239-8406
Mailing address
34353 CHURCH RD, WARREN, OR 97053-9609
(503) 397-0598
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
OR 12570
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223719
—
OR
Enumeration date
04/07/2007
Last updated
07/09/2007
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