Individual
JULIE MARIE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
890 OAK ST SE, SALEM, OR 97301-3905
(503) 561-5200
Mailing address
7642 SUNNYBROOK LN SE, SALEM, OR 97317-9551
(503) 580-1691
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PI-0011984
OR
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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