Healthcare Provider Details

I. General information

NPI: 1932030582
Provider Name (Legal Business Name): PATIENCE HAFF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 MAIN ST
KLAMATH FALLS OR
97601-2629
US

IV. Provider business mailing address

3004 CAROLINE ST
KLAMATH FALLS OR
97603-7002
US

V. Phone/Fax

Practice location:
  • Phone: 541-238-2289
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number26-QMHA-R-8620
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: