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Individual

ERIN L HAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
110 MAIN ST, MORO, OR 97039-3115
(541) 565-3325
(541) 565-3617
Mailing address
PO BOX 186, MORO, OR 97039-0186
(541) 565-3325
(541) 565-3617

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01244
OR
363AS0400X
Surgical Physician Assistant
PA01244
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
226813
OR
Enumeration date
07/13/2007
Last updated
04/03/2023
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