Healthcare Provider Details

I. General information

NPI: 1609939545
Provider Name (Legal Business Name): CAROLYN J HOFFMANN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CAROLYN J NARCAVAGE PSY.D.

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15772 SE BOLLAM DR
HAPPY VALLEY OR
97015
US

IV. Provider business mailing address

15772 SE BOLLAM DR
HAPPY VALLEY OR
97015
US

V. Phone/Fax

Practice location:
  • Phone: 503-657-7200
  • Fax:
Mailing address:
  • Phone: 503-657-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1431
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: