Healthcare Provider Details

I. General information

NPI: 1922333632
Provider Name (Legal Business Name): GEOFFREY HOFFMAN LMP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2009
Last Update Date: 10/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E MCLOUGHLIN BLVD SUITE C
VANCOUVER WA
98663-3366
US

IV. Provider business mailing address

310 E. MCLOUGHLIN BLVD SUITE C
VANCOUVER WA
98663
US

V. Phone/Fax

Practice location:
  • Phone: 360-772-6294
  • Fax:
Mailing address:
  • Phone: 360-772-6294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA60113596
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: