Individual
KATHERINE HAYFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
4010 AERIAL WAY, EUGENE, OR 97402-9757
(541) 242-8500
(541) 242-8502
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
000028705N2
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100165
—
OR
Enumeration date
06/04/2006
Last updated
11/01/2007
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