Provider Demographics
NPI:1053643023
Name:HOYT, KAREN SUSAN (RNFA)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:SUSAN
Last Name:HOYT
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4417 NE 41ST ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661-3540
Mailing Address - Country:US
Mailing Address - Phone:360-696-3090
Mailing Address - Fax:
Practice Address - Street 1:1849 NW KEARNEY ST
Practice Address - Street 2:SUITE 300
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-1453
Practice Address - Country:US
Practice Address - Phone:503-553-3661
Practice Address - Fax:503-224-0722
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR078041227RN163WR0006X
WARN60016993163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant