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General NPI Number Information
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NPI Number | 1447884952
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Entity Type | Individual
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Provider Name | RYAN PAUL HOFER ND, LMT
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Gender | Male
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Dates
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Enumeration Date | 02/24/2020
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 4800 S MACADAM AVE STE 306
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City | PORTLAND
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State | OR
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Zip | 97239-3927
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Country | US
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Telephone | 503-224-0443
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Fax |
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Provider Business Mailing Address
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Address Line | 2388 NW AVA AVE
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City | GRESHAM
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State | OR
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Zip | 97030-2567
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Country | US
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Telephone | 971-724-7950
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 5111
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 24406
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License Number State | OR
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