Tricia Raye Hayden, APRN | |
9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | |
(503) 879-2060 | |
Not Available |
Full Name | Tricia Raye Hayden |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 9605 Grand Ronde Rd, Grand Ronde, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649994286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | F09221179 (Oregon) | Secondary |
363LF0000X | Nurse Practitioner - Family | 10000624 (Oregon) | Primary |
Entity Name | Santiam Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912178823 PECOS PAC ID: 6103729751 Enrollment ID: O20040130000239 |
Entity Name | Confederated Tribes Of The Grand Ronde Community Of Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174666358 PECOS PAC ID: 6103717277 Enrollment ID: O20040320000494 |
Mailing Address | Practice Location Address |
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Tricia Raye Hayden, APRN 249 Sw Howard Dr, Mcminnville, OR 97128-9580 Ph: (503) 729-7006 | Tricia Raye Hayden, APRN 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2060 |
Mr. Maurice A Ajaifia, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2026 | |
Deborah Anne Samoson, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2002 |