Individual
HAILEY MARIE GARSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2200 NE PROFESSIONAL CT, BEND, OR 97701-6063
(541) 389-6313
(541) 389-8760
Mailing address
2200 NE PROFESSIONAL CT, BEND, OR 97701-6063
(541) 389-6313
(541) 389-8760
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
201150119NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500639022
—
OR
Enumeration date
09/12/2011
Last updated
08/14/2013
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