Individual
CAROLINE HOOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5010 NE 33RD AVE, PORTLAND, OR 97211-6946
(503) 869-1929
Mailing address
4212 SE 79TH AVE, PORTLAND, OR 97206-3307
(503) 869-1929
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
8279
OR
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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