Healthcare Provider Details

I. General information

NPI: 1952324139
Provider Name (Legal Business Name): PETER E HOFFMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 NW 22ND AVE STE 220
PORTLAND OR
97210-2969
US

IV. Provider business mailing address

900 SE OAK ST STE 202
HILLSBORO OR
97123-4287
US

V. Phone/Fax

Practice location:
  • Phone: 503-413-8988
  • Fax:
Mailing address:
  • Phone: 503-640-3724
  • Fax: 503-648-8982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD29259
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: