Individual
MR. ZACHARY AMBROSE IRVIN-HAYWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 CENTER ST NE, SALEM, OR 97301-2682
(593) 945-2800
Mailing address
1220 MCGEE CT NE APT 103, KEIZER, OR 97303-9442
(971) 599-0521
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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