Individual
MS. CARRIE MARIE HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS PA-C
Contact information
Practice address
6958 SW VARNS STREET, PORTLAND, OR 97223-8281
(503) 683-7730
(503) 914-0927
Mailing address
6958 SW VARNS STREET, PORTLAND, OR 97223-8281
(503) 683-7730
(503) 914-0927
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
PA09389
TX
2085R0204X
Vascular & Interventional Radiology Physician
PA58062
CA
363A00000X
Physician Assistant
58062
CA
363A00000X
Physician Assistant
PA58062
CA
363A00000X
Physician Assistant
—
TX
363AM0700X
Medical Physician Assistant
PA208577
OR
363AS0400X
Surgical Physician Assistant
Primary
PA208577
OR
Other
Enumeration date
11/14/2014
Last updated
11/07/2024
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