Provider Demographics
NPI:1952346280
Name:HOYVEN, ELLEN NONA (PT)
Entity Type:Individual
Prefix:
First Name:ELLEN NONA
Middle Name:
Last Name:HOYVEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8100 SW NYBERG ST STE 130
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-8375
Mailing Address - Country:US
Mailing Address - Phone:503-885-8677
Mailing Address - Fax:503-885-0676
Practice Address - Street 1:8100 SW NYBERG ST
Practice Address - Street 2:SUITE 130
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-8438
Practice Address - Country:US
Practice Address - Phone:503-620-2400
Practice Address - Fax:503-620-2410
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-19
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1647225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
R108983Medicare ID - Type Unspecified