Individual
JAMES MICHAEL HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
502 VILLA RD, NEWBERG, OR 97132-1860
(503) 538-0147
(503) 538-8608
Mailing address
502 VILLA RD, NEWBERG, OR 97132-1860
(503) 538-0147
(503) 538-8608
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7294
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113803
—
OR
Enumeration date
02/07/2007
Last updated
07/08/2007
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