MEDICARE: NATHAN HAYWARD LPC, MS

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
1	101YM0800X	Mental Health Counselor	C4037	OR

General Provider Information

NPI Number	:	1871931196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHAN HAYWARD LPC, MS

Provider Business Mailing Address
First Line	:	111 SE DOUGLAS ST STE F4
Second Line	:
City	:	NEWPORT
State	:	OR
Zip	:	97365-4499
Country	:	US
Telephone Number	:	503-974-4168
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 SE DOUGLAS ST STE F4
Second Line	:
City	:	NEWPORT
State	:	OR
Zip	:	97365-4499
Country	:	US
Telephone Number	:	503-974-4168
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2013
Last Update Date	:	02/10/2026

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