Robert J Hayes
Individual provider Active NPI Counselor · Zillah, WA
NPI 1003147315 · NPPES record last updated Aug 31, 2012
Key facts
- NPI
- 1003147315
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- CG60151631 (WA)
- Practice address
- 1610 Kagley Way
Zillah, WA 98953-9414 - Phone
- (509) 829-6585
- NPI assigned
- Jan 26, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG60151631 | WA | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CG60151631 | WA | Yes |
Addresses
Primary practice location
1610 Kagley Way
Zillah, WA 98953-9414
Mailing address
1610 Kagley Way
Zillah, WA 98953-9414
Phone (509) 829-6585
Other providers in Zillah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.