Individual
SOPHIA A HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 NE 99TH AVE STE 200, PORTLAND, OR 97220-9442
(503) 963-3030
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD222939
OR
207R00000X
Internal Medicine Physician
MD61144353
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD222939
OR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD61144353
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD222939
OR
207RP1001X
Pulmonary Disease Physician
MD61144353
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500860863
—
OR
Enumeration date
05/15/2018
Last updated
10/20/2025
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