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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982022265 | NPPES |
| North Carolina | MEDICAID | 1982022265 |
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