Organization
HAZEL ROXANNE HAYES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAZEL ROXANNE HAYES LAC (OWNER)
(503) 287-6701
Entity
Organization
Contact information
Practice address
146 BUXTON AVE, TROUTDALE, OR 97060-2040
(503) 875-3033
Mailing address
2323 NE 57TH AVE, PORTLAND, OR 97213-3501
(503) 287-6701
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00460
OR
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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