S SCOTT HAYNIE

SALEM, OR
NPI1811704067
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  201607185LPN)
Enumeration Date2024-12-11
Last Update Date2024-12-11
Business Address
S SCOTT HAYNIE
1160 LIBERTY ST SE
SALEM, OR 97302-4143
Phone number: 503-315-2019
Mailing Address
S SCOTT HAYNIE
1160 LIBERTY ST SE
SALEM, OR 97302-4143
Phone number: