Active NPI
Tera Hoffman, PHD
- Psychologist
- Portland, OR
National Provider Identifier
1043699887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2265
- Practice address
- 2455 NW Marshall St
Suite 7
Portland, OR 97210-2949 - Phone
- (971) 238-4620
- NPI assigned
- May 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2265 | OR | Primary |
Addresses
Primary practice location
2455 NW Marshall St
Suite 7
Portland, OR 97210-2949
Mailing address
2455 NW Marshall St
Suite 7
Portland, OR 97210-2949
Phone (971) 238-4620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2265 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1043699887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2455 NW MARSHALL ST",
"address_2": "SUITE 7",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102949",
"telephone_number": "971-238-4620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2455 NW MARSHALL ST",
"address_2": "SUITE 7",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102949",
"telephone_number": "971-238-4620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "TERA",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-27",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "2265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.