Individual
ABIGAIL HOSTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3871 FAIRVIEW INDUSTRIAL DR SE STE 150, SALEM, OR 97302-1172
(503) 391-9762
Mailing address
675 S 12TH ST APT 5, LEBANON, OR 97355-1425
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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