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Individual

TINA MARIE MATTHEWS-HAYES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, PMHNP-BC, FNP-C

Contact information

Practice address
11740 SW 68TH PKWY STE 11740SW, PORTLAND, OR 97223-9014
(425) 477-4216
(698) 497-6984
Mailing address
11740 SW 68TH PKWY STE 200, PORTLAND, OR 97223-9058
(412) 638-5490

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN601211
PA
363L00000X
Nurse Practitioner
SP013074
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10016847
OR
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
0024182838
VA

Other

Enumeration date
07/27/2010
Last updated
04/09/2026
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