Individual
ASHLEY MARIE HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10260 SW GREENBURG RD FL 4, PORTLAND, OR 97223-5500
(646) 453-6777
(929) 596-7897
Mailing address
10260 SW GREENBURG RD FL 4, PORTLAND, OR 97223-5500
(646) 453-6777
(929) 596-7897
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801096870
MI
1041C0700X
Clinical Social Worker
Primary
L14844
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801096870
STATE LICENSE
MI
01
—
L14844
STATE LICENSE
OR
Enumeration date
07/31/2014
Last updated
02/09/2024
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