Provider Demographics
NPI:1093821613
Name:HOFFELT, ZAKARY SCOTT (MD)
Entity Type:Individual
Prefix:
First Name:ZAKARY
Middle Name:SCOTT
Last Name:HOFFELT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12100 SE STEVENS CT
Mailing Address - Street 2:SUITE 106
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97086-4707
Mailing Address - Country:US
Mailing Address - Phone:503-653-1442
Mailing Address - Fax:503-353-7334
Practice Address - Street 1:12100 SE STEVENS CT
Practice Address - Street 2:SUITE 106
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97086-4707
Practice Address - Country:US
Practice Address - Phone:503-653-1442
Practice Address - Fax:503-353-7334
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60105623207W00000X
ORMD28158207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology