MEDICARE: STEPHEN M. HAYES DPM

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	213E00000X	Podiatrist	DP00332	OR
2	213E00000X	Podiatrist	PO00000795	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548254329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN M. HAYES DPM

Provider Business Mailing Address
First Line	:	9370 SW GREENBURG RD
Second Line	:	STE 102
City	:	PORTLAND
State	:	OR
Zip	:	97223-5442
Country	:	US
Telephone Number	:	503-244-7894
Fax Number	:

Provider Business Practice Location Address
First Line	:	9370 SW GREENBURG RD
Second Line	:	STE 102
City	:	PORTLAND
State	:	OR
Zip	:	97223-5442
Country	:	US
Telephone Number	:	503-244-7894
Fax Number	:

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

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	04/08/2013

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Directions to “ STEPHEN M. HAYES DPM” Practice Location

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