Healthcare Provider Details

I. General information

NPI: 1922910348
Provider Name (Legal Business Name): CAROLE HOFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 S 9TH AVE
SEQUIM WA
98382-3697
US

IV. Provider business mailing address

3093 OLD OLYMPIC HWY
PORT ANGELES WA
98362-9137
US

V. Phone/Fax

Practice location:
  • Phone: 360-681-5650
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN60765997
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: