Individual
LAUREN HOJNACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5330 NE GLISAN ST STE 100, PORTLAND, OR 97213-3069
(505) 215-9700
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-2110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA174852
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500692884
—
OR
01
—
P01593977
RR MEDICARE (PH&S)-PMG
OR
Enumeration date
09/17/2015
Last updated
10/19/2020
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