| Doctor Name: | KATHERINE ANN HAYNES |
| NPI Number: | 1003140195 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 095000628RN |
| Business Practice Address: | 675 South 14th Street Cottage Grove, OR - 974242776 |
| Business Phone Number: | 5419141829 |
| Business Fax Number: | 5419429022 |
| Mailing Address: | 675 South 14th Street, COTTAGE GROVE |
| State: | OR |
| Postal Code: | 974242776 |
| Phone Number: | 5419141829 |
| Fax Number: | 5419429022 |
| NPI Enumeration Date: | 09/23/2009 |
| NPI Last Update Date: | 02/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 095000628RN |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |