Active NPI
Tera Hoffman, PHD, LLC
- Community/Behavioral Health Agency
- Portland, OR
National Provider Identifier
1487011177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 2265
- Legal business name
- TERA HOFFMAN, PHD, LLC
- Practice address
- 2455 NW Marshall St
Suite 7
Portland, OR 97210-2949 - Phone
- (971) 238-4620
- Fax
- (844) 860-4273
- NPI assigned
- Jan 26, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tera Hoffman
- Title
- Licensed Psychologist
- Phone
- (971) 238-4620
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 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
National Provider Directory
National Provider DirectoryLocations
2455 NW Marshall St
Ste 7
Portland, OR 97210
Phone (503) 222-3313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453766400000",
"number": "1487011177",
"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",
"fax_number": "844-860-4273"
},
{
"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",
"fax_number": "844-860-4273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TERA HOFFMAN, PHD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-26",
"last_updated": "2016-01-26",
"status": "A",
"authorized_official_last_name": "HOFFMAN",
"authorized_official_first_name": "TERA",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "971-238-4620",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"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 26, 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.