Individual
JENNIFER HOFFSTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1517 NE BRAZEE ST, PORTLAND, OR 97212-4267
(503) 281-8551
Mailing address
4403 NE 32ND AVE, PORTLAND, OR 97211-7153
(503) 975-8355
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4086
OR
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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