Individual
CHARLES E HOFMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3820 17TH ST, BAKER CITY, OR 97814-1300
(541) 523-4465
(541) 523-4469
Mailing address
3820 17TH ST, BAKER CITY, OR 97814-1300
(541) 523-4465
(541) 523-4469
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12678 MD
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213134
—
OR
Enumeration date
07/27/2005
Last updated
10/19/2007
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