Individual
JENNIFER HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9775 SE SUNNYSIDE RD STE 200, CLACKAMAS, OR 97015-5721
(503) 794-3838
(503) 794-3850
Mailing address
2051 KAEN RD, SUITE 367, OREGON CITY, OR 97045-4035
(503) 742-5300
(503) 655-8350
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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