Healthcare Provider Details

I. General information

NPI: 1831005172
Provider Name (Legal Business Name): DIANA HOFFER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 3RD AVE W
SEATTLE WA
98119-3717
US

IV. Provider business mailing address

703 3RD AVE W
SEATTLE WA
98119-3717
US

V. Phone/Fax

Practice location:
  • Phone: 360-358-5441
  • Fax:
Mailing address:
  • Phone: 360-358-5441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number300240R
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: