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NPI Code Detail

MEDICARE: RYAN PAUL HOFER ND, LMT

MEDICARE:   RYAN PAUL HOFER  ND, LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175F00000XNaturopath5111OR
2225700000XMassage Therapist24406OR

General Provider Information

NPI Number : 1447884952
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN PAUL HOFER ND, LMT
Provider Business Mailing Address
First Line : 2388 NW AVA AVE
Second Line :
City : GRESHAM
State : OR
Zip : 97030-2567
Country : US
Telephone Number : 971-724-7950
Fax Number :
Provider Business Practice Location Address
First Line : 4800 S MACADAM AVE STE 306
Second Line :
City : PORTLAND
State : OR
Zip : 97239-3927
Country : US
Telephone Number : 503-224-0443
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2020
Last Update Date : 10/24/2025

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Directions to “ RYAN PAUL HOFER ND, LMT” Practice Location

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