Garside, Hailey Marie
Garside, Hailey Marie is an individual health care provider with primary practice located at 2200 Ne Professional Ct , Bend OR 97701-6063. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Garside, Hailey Marie can be contacted via phone (541) 389-6313.Contact Information
Primary practice address
2200 Ne Professional Ct
Bend OR 97701-6063
Phone: (541) 389-6313
Fax: (541) 389-8760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 201150119NP | Oregon |
Profile Details
| NPI number | 1609158161 |
|---|---|
| LBN Legal business name | Garside, Hailey Marie |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2011 |
| Last updated | Aug 14th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609158161 | NPPES |
| Oregon | MEDICAID | 500639022 |
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