Healthcare Provider Details

I. General information

NPI: 1417197575
Provider Name (Legal Business Name): CYNTHIA JEAN HOFF L.AC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2009
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

634 SE 47TH AVE
PORTLAND OR
97215-1713
US

IV. Provider business mailing address

3716 SE 74TH AVE
PORTLAND OR
97206-2436
US

V. Phone/Fax

Practice location:
  • Phone: 503-233-2549
  • Fax:
Mailing address:
  • Phone: 503-504-1227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC01218
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: