Hoffman, Jacqueline Marie

Hoffman, Jacqueline Marie is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Hoffman, Jacqueline Marie can be contacted via phone (503) 494-8122.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011
Phone: (503) 494-8122
Fax: (503) 494-4953
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 201908355NPPP Oregon

Profile Details

NPI number 1659457539
LBN Legal business name Hoffman, Jacqueline Marie
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Feb 6th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659457539 NPPES
Florida MEDICAID 307818300

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