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1821554692
KRISTEN ELIZABETH HAYNES
PORTLAND, OR
NPI
1821554692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: OR 201905113NP-PP)
Enumeration Date
2019-02-15
Last Update Date
2019-06-28
Business Address
KRISTEN ELIZABETH HAYNES
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-5300
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Mailing Address
KRISTEN ELIZABETH HAYNES
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-5300
Copy
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