Individual
ROGER HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
65 N HIGHWAY 101, SUITE 204, WARRENTON, OR 97146-9371
(503) 325-5722
Mailing address
65 N HIGHWAY 101, SUITE 204, WARRENTON, OR 97146-9371
(503) 335-0241
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-08-09
CADC I
OR
Enumeration date
06/09/2015
Last updated
02/22/2016
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