Individual
BRENT L HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9290 SE SUNNYBROOK BLVD, SUITE 120, CLACKAMAS, OR 97015-6802
(503) 215-2110
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO25183
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233434
—
OR
01
—
P00630534
RR MEDICARE
OR
Enumeration date
06/05/2006
Last updated
09/15/2021
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