Individual
STEPHEN M. HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
9370 SW GREENBURG RD, STE 102, PORTLAND, OR 97223-5442
(503) 244-7894
Mailing address
9370 SW GREENBURG RD, STE 102, PORTLAND, OR 97223-5442
(503) 244-7894
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00332
OR
213E00000X
Podiatrist
PO00000795
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228814
—
OR
05
—
7137821
—
WA
05
—
8481913
—
WA
Enumeration date
09/07/2005
Last updated
04/08/2013
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