Individual
KYLE P HOESTEREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
890 OAK ST SE BLDG A, SALEM, OR 97301-3905
(503) 561-5634
Mailing address
890 OAK ST SE BLDG A, SALEM, OR 97301-3905
(503) 561-5634
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD171327
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2012
Last updated
11/10/2015
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