Organization
PAULJOHN HAYNER MD PC
Active
Other names
Renaissance Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULJOHN HAYNER MD (PRESIDENT)
(503) 338-4325
Entity
Organization
Contact information
Practice address
1230 MARINE DR, 201, ASTORIA, OR 97103-4059
(503) 338-4325
Mailing address
PO BOX 23200, PORTLAND, OR 97281-3200
(503) 968-2779
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF3546
RAILROAD MEDICARE GROUP
—
01
—
P00358641
RAILROAD MEDICARE
OR
Enumeration date
08/22/2006
Last updated
10/30/2008
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