Individual
HAILEY MADISON SOSEBEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3640 NW SAMARITAN DR STE 120, CORVALLIS, OR 97330-3738
(541) 768-5223
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA226020
OR
Other
Enumeration date
11/07/2024
Last updated
09/04/2025
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