Provider Demographics
NPI:1295962975
Name:HOFFMAN, DEBORAH J (LAC, MAC)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:J
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:LAC, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20423 MAUPIN RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-7130
Mailing Address - Country:US
Mailing Address - Phone:360-445-3424
Mailing Address - Fax:360-445-3424
Practice Address - Street 1:4746 44TH AVE SW
Practice Address - Street 2:SUITE 203
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-4489
Practice Address - Country:US
Practice Address - Phone:360-445-3424
Practice Address - Fax:360-445-3424
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-19
Last Update Date:2009-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00000294171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist