Individual
CALVIN HAYNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10209 SE DIVISION ST, PORTLAND, OR 97266-1372
(503) 228-9229
Mailing address
10209 SE DIVISION ST, PORTLAND, OR 97266-1372
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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