Individual provider · Type 1 NPI

Kristen Elizabeth Haynes

Acute Care Nurse Practitioner · Portland, OR

NPI number 1821554692 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Fax (503) 494-6519

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X201905113NP-PP (OR)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1821554692

Kristen Elizabeth Haynes's National Provider Identifier is 1821554692, issued on Feb 15, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Portland, OR. The record was last updated on Jun 28, 2019.