Hostetler, Haley Peterson

Hostetler, Haley Peterson is an sole proprietor health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Hostetler, Haley Peterson can be contacted via phone (503) 494-4300.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011
Phone: (503) 494-4300
Fax: (503) 494-4323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD211432 Oregon
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD211432 Oregon
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X MD211432 Oregon

Profile Details

NPI number 1982022265
LBN Legal business name Hostetler, Haley Peterson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2014
Last updated Jan 20th, 2023 - about last year

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 1982022265 NPPES
North Carolina MEDICAID 1982022265

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