Individual
TINA M HAYNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
46314 TIMINE WAY, PENDLETON, OR 97801-9417
(541) 966-9830
Mailing address
46314 TIMINE WAY, PENDLETON, OR 97801-9417
(541) 966-9830
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
OR
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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