Individual
JARED HIEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3099 RIVER RD S STE 150, SALEM, OR 97302-9754
(503) 581-1567
(503) 399-1229
Mailing address
3099 RIVER RD S STE 150, SALEM, OR 97302-9754
(503) 581-1567
(503) 399-1229
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD182141
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500722720
—
OR
Enumeration date
05/30/2012
Last updated
03/17/2018
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