Provider Demographics
NPI:1831741040
Name:HOFFMAN, LAUREN ANNE (PSYD)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ANNE
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2928 SE HAWTHORNE BLVD STE 109
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-4147
Mailing Address - Country:US
Mailing Address - Phone:503-966-2587
Mailing Address - Fax:
Practice Address - Street 1:2928 SE HAWTHORNE BLVD STE 109
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-4147
Practice Address - Country:US
Practice Address - Phone:503-966-2587
Practice Address - Fax:503-343-6222
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-09
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist