Organization
DR TRACEY HOFFMAN & ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACEY ELIZABETH HOFFMAN PSYD (PRESIDENT)
(503) 320-6272
Entity
Organization
Contact information
Practice address
1210 SE OAK ST, PORTLAND, OR 97214
(503) 320-6272
(503) 284-2873
Mailing address
2615 NE 20TH AVE, PORTLAND, OR 97212
(503) 320-6272
(503) 284-2873
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
OR1724
OR
103TC0700X
Clinical Psychologist
PY3352
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005909
OREGON MEDICAL ASSISTANCE
OR
Enumeration date
04/08/2008
Last updated
04/08/2008
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