Individual
AUDIRA MARIE HAYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 CHERRY ST, LA GRANDE, OR 97850
(541) 910-4384
Mailing address
1406 CHERRY ST, LA GRANDE, OR 97850-8511
(541) 910-4384
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14633
OR
Other
Enumeration date
05/05/2008
Last updated
05/07/2008
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