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Individual

MR. PAYTON ALAN HAYNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MBA, ATC, OTC

Contact information

Practice address
11782 SW BARNES RD STE 300, THE ORTHOPEDIC & FRACTURE CLINIC, PORTLAND, OR 97225-5933
(503) 214-5200
(503) 906-6613
Mailing address
11782 SW BARNES RD STE 300, THE ORTHOPEDIC & FRACTURE CLINIC, PORTLAND, OR 97225-5933
(503) 214-5200
(503) 906-6613

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
246ZS0410X
Surgical Technologist
07-0817

Other

Enumeration date
08/20/2006
Last updated
09/11/2008
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