MEDICARE: GEOFFREY HAYDEN CARDEN MD

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	207Q00000X	Family Medicine Physician	MD24490	OR

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

General Provider Information

NPI Number	:	1669453460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEOFFREY HAYDEN CARDEN MD

Provider Business Mailing Address
First Line	:	226 SE 8TH AVE
Second Line	:
City	:	HILLSBORO
State	:	OR
Zip	:	97123-4218
Country	:	US
Telephone Number	:	503-601-7400
Fax Number	:	703-601-7311

Provider Business Practice Location Address
First Line	:	226 SE 8TH AVE
Second Line	:
City	:	HILLSBORO
State	:	OR
Zip	:	97123-4218
Country	:	US
Telephone Number	:	503-601-7400
Fax Number	:	503-601-7311

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

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	02/19/2013

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