MEDICARE: DR. PAUL HOFFMAN MD

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
1	208600000X	Surgery Physician	MD17600	OR

General Provider Information

NPI Number	:	1770562977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL HOFFMAN MD

Provider Business Mailing Address
First Line	:	1801 HWY 99 N
Second Line	:	SUITE 2
City	:	ASHLAND
State	:	OR
Zip	:	97520-9152
Country	:	US
Telephone Number	:	541-488-4464
Fax Number	:	541-488-3772

Provider Business Practice Location Address
First Line	:	1801 HWY 99 N
Second Line	:	SUITE 2
City	:	ASHLAND
State	:	OR
Zip	:	97520-9152
Country	:	US
Telephone Number	:	541-488-4464
Fax Number	:	541-488-3772

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2006
Last Update Date	:	01/02/2013

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