Organization Active NPI

Marney Hoffman, PHD

  • Professional Counselor
  • Portland, OR
National Provider Identifier
1679024327
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C3780 Issued in OR
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

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Dr. Marney Hoffman, PHDNPI 1982749735
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.