Active NPI
Molly Hoeflich, MD
- Physical Medicine & Rehabilitation Physician
- Portland, OR
National Provider Identifier
1528040631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD14908
- Practice address
- 5050 NE Hoyt St
Suite 353
Portland, OR 97213-2991 - Phone
- (503) 230-2833
- Fax
- (503) 232-8223
- NPI assigned
- Nov 15, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MD14908 | OR | Primary |
Addresses
Primary practice location
5050 NE Hoyt St
Suite 353
Portland, OR 97213-2991
Mailing address
PO Box 821350
Vancouver, WA 98682-0030
Phone (503) 283-5220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101808 | Medicaid | OR |
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 Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390262400000",
"number": "1528040631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 821350",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986820030",
"telephone_number": "503-283-5220",
"fax_number": "503-283-4527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 NE HOYT ST",
"address_2": "SUITE 353",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132991",
"telephone_number": "503-230-2833",
"fax_number": "503-232-8223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOEFLICH",
"first_name": "MOLLY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2014-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OR",
"license": "MD14908",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101808",
"state": "OR"
}
],
"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 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.