Active NPI
Marney Hoffman, PHD
- Professional Counselor
- Portland, OR
National Provider Identifier
1679024327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C3780
- Legal business name
- MARNEY HOFFMAN, PHD
- Practice address
- 1133 NW 21St Ave
Suite 201
Portland, OR 97209-1513 - Phone
- (503) 504-5067
- NPI assigned
- Oct 18, 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. Marney Hoffman, PHD
- Title
- Owner/Behavioral Health Counselor
- Phone
- (503) 504-5067
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C3780 | OR | Primary |
Addresses
Primary practice location
1133 NW 21St Ave
Suite 201
Portland, OR 97209-1513
Mailing address
1133 NW 21St Ave
Suite 201
Portland, OR 97209-1513
Phone (503) 504-5067
Other names 1
- Hoffman Behavioral Health
National Provider Directory
National Provider DirectoryLocations
1133 NW 21st Ave
Ste 201
Portland, OR 97209
Phone (503) 504-5067
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Portland, OR
- NPI 1982749735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476748800000",
"number": "1679024327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 NW 21ST AVE",
"address_2": "SUITE 201",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972091513",
"telephone_number": "503-504-5067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 NW 21ST AVE",
"address_2": "SUITE 201",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972091513",
"telephone_number": "503-504-5067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARNEY HOFFMAN, PHD",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-18",
"last_updated": "2016-10-18",
"status": "A",
"authorized_official_last_name": "HOFFMAN",
"authorized_official_first_name": "MARNEY",
"authorized_official_title_or_position": "OWNER/BEHAVIORAL HEALTH COUNSELOR",
"authorized_official_telephone_number": "503-504-5067",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C3780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hoffman Behavioral Health",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 18, 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.