Individual
DR. TRACEY HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1210 SE OAK ST, PORTLAND, OR 97214-1427
(503) 320-6272
Mailing address
1210 SE OAK ST, PORTLAND, OR 97214-1427
(503) 320-6272
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
OR1724
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005909
OREGON MEDICAL ASSISTANCE
OR
Enumeration date
08/15/2008
Last updated
08/15/2008
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