Provider Demographics
NPI:1922667518
Name:HAYLEE NYE ND LLC
Entity Type:Organization
Organization Name:HAYLEE NYE ND LLC
Other - Org Name:HAYLEE NYE ND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAYLEE
Authorized Official - Middle Name:JO
Authorized Official - Last Name:NYE
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:503-451-5013
Mailing Address - Street 1:5440 BAY CREEK DR
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-6749
Mailing Address - Country:US
Mailing Address - Phone:503-583-3574
Mailing Address - Fax:855-508-2848
Practice Address - Street 1:1730 SW SKYLINE BLVD STE 110
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97221-2547
Practice Address - Country:US
Practice Address - Phone:503-451-5013
Practice Address - Fax:855-508-2848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-07
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty