Individual
KAYLEE MARIE RIESTERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1430 COMMERCIAL ST SE, SALEM, OR 97302-4308
(503) 364-5033
Mailing address
1430 COMMERCIAL ST SE, SALEM, OR 97302-4308
(503) 910-9272
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA184682
OR
Other
Enumeration date
05/25/2016
Last updated
02/19/2026
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