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NPI Code Detail

MEDICARE: MICHELLE HAY RN

MEDICARE: MICHELLE HAY RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse201390899RNOR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093136988
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE HAY RN
Provider Business Mailing Address
First Line : PO BOX 2164
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035
Country : US
Telephone Number : 650-714-4134
Fax Number :
Provider Business Practice Location Address
First Line : 55 NE GRAND AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97232-2968
Country : US
Telephone Number : 971-230-7653
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2013
Last Update Date : 02/17/2016

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