Provider Demographics
NPI:1184092843
Name:HAYGEMAN, EMILY
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:
Last Name:HAYGEMAN
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 1:835 SE STEPHENS ST STE 202
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-4636
Mailing Address - Country:US
Mailing Address - Phone:503-200-0585
Mailing Address - Fax:
Practice Address - Street 1:835 SE STEPHENS ST STE 202
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-4636
Practice Address - Country:US
Practice Address - Phone:503-200-0585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-10
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist