Individual
HALEY KANNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
331 SE 2ND ST, PENDLETON, OR 97801-2224
(541) 276-6207
Mailing address
414 SW 17TH ST, PENDLETON, OR 97801-2651
(541) 215-0496
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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