Healthcare Provider Details
I. General information
NPI: 1457689028
Provider Name (Legal Business Name): ARTHRITIS & JOINT REPLACEMENT CLINIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/19/2009
Last Update Date: 03/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5050 NE HOYT ST STE 660
PORTLAND OR
97213-2990
US
IV. Provider business mailing address
5050 NE HOYT ST STE 660
PORTLAND OR
97213-2990
US
V. Phone/Fax
- Phone: 503-233-8031
- Fax:
- Phone: 503-233-8031
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XS0114X |
| Taxonomy | Adult Reconstructive Orthopaedic Surgery Physician |
| License Number | MD11133 |
| License Number State | OR |
VIII. Authorized Official
Name:
STEVEN
F
HOFF
Title or Position: PRESIDENT
Credential: M.D.
Phone: 503-233-8031