Provider Demographics
NPI:1457717191
Name:HAYS, AMANDA MILLER (CD(DONA))
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:MILLER
Last Name:HAYS
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3153 SE TIMBERLAKE DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-8368
Mailing Address - Country:US
Mailing Address - Phone:503-575-7123
Mailing Address - Fax:503-853-7991
Practice Address - Street 1:3153 SE TIMBERLAKE DR
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-8368
Practice Address - Country:US
Practice Address - Phone:503-575-7123
Practice Address - Fax:503-853-7991
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-11
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR11246374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula