MEDICARE: MR. ROBERT PB HAYES 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	207W00000X	Ophthalmology Physician	MD22191	OR
2	207W00000X	Ophthalmology Physician	MD00032421	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8186025	OTHER	WA	WASH WELF
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902861305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT PB HAYES MD

Provider Business Mailing Address
First Line	:	405 E 7TH ST
Second Line	:
City	:	THE DALLES
State	:	OR
Zip	:	97058-2607
Country	:	US
Telephone Number	:	541-298-5144
Fax Number	:	541-298-5224

Provider Business Practice Location Address
First Line	:	405 E 7TH ST
Second Line	:
City	:	THE DALLES
State	:	OR
Zip	:	97058-2607
Country	:	US
Telephone Number	:	541-298-5144
Fax Number	:	541-298-5224

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

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	03/07/2023

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