Individual
GARY HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
10090 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9764
(503) 571-3415
Mailing address
2884 SE GLACIER AVE, GRESHAM, OR 97080-9071
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RTP000448
OR
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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