Individual
TRICIA RAYE HAYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9605 GRAND RONDE RD, GRAND RONDE, OR 97347-9712
(503) 879-2060
Mailing address
249 SW HOWARD DR, MCMINNVILLE, OR 97128-9580
(503) 729-7006
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10000624
OR
363LP2300X
Primary Care Nurse Practitioner
F09221179
OR
Other
Enumeration date
09/27/2022
Last updated
03/05/2024
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