Provider Demographics
NPI:1750719902
Name:HOFFMAN, EMILY FRANCO (CNM/NP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:FRANCO
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:CNM/NP
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:BUNDY
Other - Last Name:FRANCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24850 SE STARK ST.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030-3399
Mailing Address - Country:US
Mailing Address - Phone:503-491-9444
Mailing Address - Fax:503-661-3430
Practice Address - Street 1:24850 SE STARK ST.
Practice Address - Street 2:SUITE 200
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030-8320
Practice Address - Country:US
Practice Address - Phone:503-491-9444
Practice Address - Fax:503-661-3430
Is Sole Proprietor?:No
Enumeration Date:2013-10-25
Last Update Date:2013-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201393471NP-PP367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife