Provider Demographics
NPI:1952324139
Name:HOFFMAN, PETER E (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:E
Last Name:HOFFMAN
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 1:900 SE OAK ST STE 202
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-4287
Mailing Address - Country:US
Mailing Address - Phone:503-640-3724
Mailing Address - Fax:503-648-8982
Practice Address - Street 1:900 SE OAK ST
Practice Address - Street 2:SUITE 202
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4285
Practice Address - Country:US
Practice Address - Phone:503-640-3724
Practice Address - Fax:503-648-8982
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD29259207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR185653Medicare UPIN