Healthcare Provider Details

I. General information

NPI: 1881220200
Provider Name (Legal Business Name): ANALEIGH JEAN HAYES RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2020
Last Update Date: 03/17/2020
Certification Date: 03/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8050 SW WARM SPRINGS ST STE 205
TUALATIN OR
97062-7424
US

IV. Provider business mailing address

8050 SW WARM SPRINGS ST STE 205
TUALATIN OR
97062-7424
US

V. Phone/Fax

Practice location:
  • Phone: 503-430-7699
  • Fax: 503-430-8374
Mailing address:
  • Phone: 503-430-7699
  • Fax: 503-430-8374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number200241168
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: