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1265582217
SCOTT A HAYNES
TIGARD, OR
NPI
1265582217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: OR 093007044N6)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
SCOTT A HAYNES PMHNP
8770 SW SCOFFINS ST
TIGARD, OR 97223-6226
Phone number: 503-684-1424
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Mailing Address
SCOTT A HAYNES PMHNP
8770 SW SCOFFINS ST
TIGARD, OR 97223-6226
Phone number: 503-684-1424
Copy
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