Hayman, Amanda Verienna

Hayman, Amanda Verienna is an individual health care provider with primary practice located at 4805 Ne Glisan St Suite 6N60, Portland OR 97213-2933. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Hayman, Amanda Verienna can be contacted via phone (503) 281-0561.

Contact Information

Primary practice address
4805 Ne Glisan St Suite 6N60 Portland OR 97213-2933
Phone: (503) 281-0561
Fax: (503) 416-7377
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 125051603 Illinois
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 106905 Minnesota
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 56908 Minnesota
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MD167212 Oregon

Profile Details

NPI number 1750603957
LBN Legal business name Hayman, Amanda Verienna
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2010
Last updated Nov 10th, 2021 - about 5 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 1750603957 NPPES
Washington MEDICAID 2038697
Washington MEDICAID 500675150

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