Individual
GABRIELLE KEFFER HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
511 SW 10TH AVE STE 904, PORTLAND, OR 97205-2710
(503) 221-1870
Mailing address
8321 NE HASSALO ST, PORTLAND, OR 97220-5713
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
200943343RN
OR
163WW0101X
Ambulatory Women's Health Care Registered Nurse
200943343RN
OR
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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