Individual
SCOTT A HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
8770 SW SCOFFINS ST, TIGARD, OR 97223-6226
(503) 684-1424
(503) 684-1425
Mailing address
8770 SW SCOFFINS ST, TIGARD, OR 97223-6226
(503) 684-1424
(503) 684-1425
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
093007044N6
OR
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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