MEDICARE: HAYLIE HEATH DC

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	111N00000X	Chiropractor	6327	OR

General Provider Information

NPI Number	:	1992586630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAYLIE HEATH DC

Provider Business Mailing Address
First Line	:	156 SE 4TH AVE
Second Line	:
City	:	HILLSBORO
State	:	OR
Zip	:	97123-4121
Country	:	US
Telephone Number	:	503-681-8125
Fax Number	:

Provider Business Practice Location Address
First Line	:	156 SE 4TH AVE
Second Line	:
City	:	HILLSBORO
State	:	OR
Zip	:	97123-4121
Country	:	US
Telephone Number	:	503-681-8125
Fax Number	:

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

Provider Enumeration Date	:	10/09/2023
Last Update Date	:	12/12/2024

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Directions to “ HAYLIE HEATH DC” Practice Location

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