Individual
MRS. JACQUELINE MARIE HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8122
(503) 494-4953
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8122
(503) 494-4953
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
201908355NPPP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307818300
—
FL
Enumeration date
10/31/2006
Last updated
02/06/2020
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