Caroline Hoof
Individual provider Active NPI Contractor · Portland, OR
NPI 1780033720 · NPPES record last updated Jun 9, 2016
Key facts
- NPI
- 1780033720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 8279 (OR)
- Practice address
- 5010 NE 33Rd Ave
Portland, OR 97211-6946 - Phone
- (503) 869-1929
- NPI assigned
- Jun 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8279 | OR | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 8279 | OR | Yes |
Addresses
Primary practice location
5010 NE 33Rd Ave
Portland, OR 97211-6946
Mailing address
4212 SE 79TH Ave
Portland, OR 97206-3307
Phone (503) 869-1929
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.