Provider Demographics
NPI:1083630842
Name:HAYS, ANNA MARGARET (MD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARGARET
Last Name:HAYS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:775 SW 9TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:NEWPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97365-4895
Mailing Address - Country:US
Mailing Address - Phone:541-265-2007
Mailing Address - Fax:541-265-3533
Practice Address - Street 1:775 SW 9TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:NEWPORT
Practice Address - State:OR
Practice Address - Zip Code:97365-4895
Practice Address - Country:US
Practice Address - Phone:541-265-2007
Practice Address - Fax:541-265-3533
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG68660207R00000X
ORMD29257207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500606452Medicaid
CAG68660Medicare PIN
OR500606452Medicaid
ORR147051Medicare PIN