Healthcare Provider Details

I. General information

NPI: 1437496536
Provider Name (Legal Business Name): DANIELLE SAMARA HAYES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2013
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2202 S CEDAR ST STE 100
TACOMA WA
98405-2318
US

IV. Provider business mailing address

2202 S CEDAR ST STE 100
TACOMA WA
98405-2318
US

V. Phone/Fax

Practice location:
  • Phone: 253-627-2900
  • Fax: 253-627-2941
Mailing address:
  • Phone: 253-627-2900
  • Fax: 253-627-2941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberMD61164242
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: