Individual
DR. JAMES MICHAEL HOESLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 NE NEFF RD, BEND, OR 97701-6337
(541) 322-3504
Mailing address
2747 NE CONNERS AVE, BEND, OR 97701-8738
(541) 382-5712
(541) 382-2605
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD13488
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00469983
RAILROAD MEDICARE
OR
05
—
208397
—
OR
Enumeration date
09/16/2006
Last updated
02/07/2018
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