Healthcare Provider Details

I. General information

NPI: 1033065057
Provider Name (Legal Business Name): ANDRAYA LLC CLAYWORKS COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47633 NW PONGRATZ RD
BANKS OR
97106-7539
US

IV. Provider business mailing address

47633 NW PONGRATZ RD
BANKS OR
97106-7539
US

V. Phone/Fax

Practice location:
  • Phone: 971-275-7887
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ANDRAYA MARIE HAYWARD
Title or Position: MANAGER
Credential: MS, LPC, ATR
Phone: 971-275-7887