Active NPI
Marilyn Hayward
- Customized Equipment (DME)
- Portland, OR
National Provider Identifier
1740612753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- MARILYN HAYWARD
- Practice address
- 2025 SE Hawthorne Blvd
Portland, OR 97214-3819 - Phone
- (503) 230-7723
- NPI assigned
- Jul 31, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marilyn J Hayward
- Title
- Owner
- Phone
- (503) 230-7723
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
2025 SE Hawthorne Blvd
Portland, OR 97214-3819
Mailing address
2025 SE Hawthorne Blvd
Portland, OR 97214-3819
Phone (503) 230-7723
Other names 1
- Coventry Cycle Works
National Provider Directory
National Provider DirectoryLocations
2025 SE Hawthorne Blvd
Portland, OR 97214
Phone (503) 230-7723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375228800000",
"number": "1740612753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 SE HAWTHORNE BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972143819",
"telephone_number": "503-230-7723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 SE HAWTHORNE BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972143819",
"telephone_number": "503-230-7723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARILYN HAYWARD",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-31",
"last_updated": "2013-07-31",
"status": "A",
"authorized_official_last_name": "HAYWARD",
"authorized_official_first_name": "MARILYN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-230-7723"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Coventry Cycle Works",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.