Haynes, Katherine Ann

Haynes, Katherine Ann is an individual health care provider with primary practice located at 675 South 14Th Street , Cottage Grove OR 97424-2776. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Community Health. Nursing Service Providers / Registered Nurse is her primary health care specialty. Haynes, Katherine Ann can be contacted via phone (541) 914-1829.

Contact Information

Primary practice address
675 South 14Th Street Cottage Grove OR 97424-2776
Phone: (541) 914-1829
Fax: (541) 942-9022
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 095000628RN Oregon
Nursing Service Providers / Community Health 163WC1500X 095000628RN Oregon

Profile Details

NPI number 1003140195
LBN Legal business name Haynes, Katherine Ann
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2009
Last updated Feb 25th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003140195 NPPES
Oregon MEDICAID 500611115

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