Provider Demographics
NPI:1881220200
Name:HAYES, ANALEIGH JEAN (RN, BSN)
Entity Type:Individual
Prefix:
First Name:ANALEIGH
Middle Name:JEAN
Last Name:HAYES
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8050 SW WARM SPRINGS ST STE 205
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-7424
Mailing Address - Country:US
Mailing Address - Phone:503-430-7699
Mailing Address - Fax:503-430-8374
Practice Address - Street 1:8050 SW WARM SPRINGS ST STE 205
Practice Address - Street 2:
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-7424
Practice Address - Country:US
Practice Address - Phone:503-430-7699
Practice Address - Fax:503-430-8374
Is Sole Proprietor?:No
Enumeration Date:2020-03-17
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200241168163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice