Individual
DR. CARL F HOOGESTEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1289 49TH AVE, SWEET HOME, OR 97386
(541) 451-6250
Mailing address
PO BOX 1193, CORVALLIS, OR 97339-1193
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25392
NE
207Q00000X
Family Medicine Physician
Primary
MD172246
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
MILITARY RESIDENCY
NC
05
—
500698235
—
OR
Enumeration date
07/09/2008
Last updated
10/30/2023
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