Organization
MARILYN HAYWARD
Active
Other names
Coventry Cycle Works
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN J HAYWARD (OWNER)
(503) 230-7723
Entity
Organization
Contact information
Practice address
2025 SE HAWTHORNE BLVD, PORTLAND, OR 97214-3819
(503) 230-7723
Mailing address
2025 SE HAWTHORNE BLVD, PORTLAND, OR 97214-3819
(503) 230-7723
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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