Individual
GREGORY ALLEN HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 NW STEWART PKWY, ROSEBURG, OR 97470-1281
(541) 673-0611
Mailing address
PO BOX 4008, PORTLAND, OR 97208-4008
(503) 372-2740
(503) 372-2754
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD17209
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062690
—
OR
Enumeration date
06/23/2006
Last updated
07/08/2007
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