Healthcare Provider Details

I. General information

NPI: 1013176510
Provider Name (Legal Business Name): DR HOFFMAN CHIROPRACT AND MASSAGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2008
Last Update Date: 10/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3694 SW PACIFIC HWY
HUBBARD OR
97032
US

IV. Provider business mailing address

PO BOX 825
WILSONVILLE OR
97070
US

V. Phone/Fax

Practice location:
  • Phone: 503-982-8683
  • Fax: 503-214-8188
Mailing address:
  • Phone: 503-982-8683
  • Fax: 503-214-8188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number273127
License Number StateOR

VIII. Authorized Official

Name: DR. AMY HOFFMAN
Title or Position: OWNER
Credential: DC
Phone: 503-982-8683