Provider Demographics
NPI:1588841191
Name:HOFFMAN, REX ARTHUR
Entity Type:Individual
Prefix:
First Name:REX
Middle Name:ARTHUR
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1837 ALDERWOOD ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97404-4703
Mailing Address - Country:US
Mailing Address - Phone:541-337-4755
Mailing Address - Fax:
Practice Address - Street 1:1837 ALDERWOOD ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97404-4703
Practice Address - Country:US
Practice Address - Phone:541-337-4755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-25
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health