Tracey Hoffman, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

OR1724 Issued in OR

Practice address

1210 SE Oak St
Portland, OR 97214-1427

Phone

(503) 320-6272

NPI assigned

Aug 15, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Tracey Hoffman & Associates PC

  • Clinical Psychologist
  • Portland, OR
  • NPI 1104099464
  NPD (past) Authorized official

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1619123148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 SE OAK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141427",
            "telephone_number": "503-320-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 SE OAK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141427",
            "telephone_number": "503-320-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "TRACEY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "OR1724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON MEDICAL ASSISTANCE",
            "identifier": "005909",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Hoffman
• Peter E Hoffman, MD
• Susan Elaine Hoffman, PMHNP
• Tera Hoffman, PHD
• Teri Christine Hoffman
• Walter Gary Hoffman, MD
• William Franklin Hoffman, PH.D., M.D.
• Andrew Stephen Hoffmann, LMT
• Gina Hoffmann, LMT
• John Hoffmann, LMT

• Clinical Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.