Provider Demographics
NPI:1962884502
Name:HAYES, COLLETTE
Entity type:Individual
Prefix:
First Name:COLLETTE
Middle Name:
Last Name:HAYES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 SE BROOKWOOD AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-8178
Mailing Address - Country:US
Mailing Address - Phone:503-270-7167
Mailing Address - Fax:503-356-1736
Practice Address - Street 1:2400 SE BROOKWOOD AVE APT 6
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-8178
Practice Address - Country:US
Practice Address - Phone:503-270-7167
Practice Address - Fax:503-356-1736
Is Sole Proprietor?:No
Enumeration Date:2015-06-19
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker