Individual provider Active NPI

Hannah Hoeflich, PSY.D.

  • Clinical Psychologist
  • Portland, OR
National Provider Identifier
1336457969
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2643 Issued in OR
Practice address
7415 N Oatman Ave
Portland, OR 97217-1213
Phone
(503) 928-2900
Fax
(503) 289-0943
NPI assigned
Sep 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2643 OR Primary

Addresses

Primary practice location

7415 N Oatman Ave
Portland, OR 97217-1213

Mailing address

7415 N Oatman Ave
Portland, OR 97217-1213
Phone (503) 928-2900

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2643ORMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: hhoeflich109112@direct.ohsu.edu

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1336457969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7415 N OATMAN AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972171213",
            "telephone_number": "503-928-2900",
            "fax_number": "503-289-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7415 N OATMAN AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972171213",
            "telephone_number": "503-928-2900",
            "fax_number": "503-289-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEFLICH",
        "first_name": "HANNAH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2643",
            "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 May 9, 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.

Verify at the official NPI Registry.