Hofmann-Smith, Edwin Walter
Hofmann-Smith, Edwin Walter is an individual health care provider with primary practice located at 10360 Ne Wasco St , Portland OR 97220-3927. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Naturopath, Technologists, Technicians & Other Technical Service Providers / Sonography. Other Service Providers / Naturopath is his primary health care specialty. Hofmann-Smith, Edwin Walter can be contacted via phone (503) 252-8125.Contact Information
Primary practice address
10360 Ne Wasco St
Portland OR 97220-3927
Phone: (503) 252-8125
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Naturopath | 175F00000X | 460 | Oregon |
| Technologists, Technicians & Other Technical Service Providers / Sonography | 2471S1302X | 02315 | Oregon |
Profile Details
| NPI number | 1902887813 |
|---|---|
| LBN Legal business name | Hofmann-Smith, Edwin Walter |
| Credentials | ND, PH.D, RDMS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902887813 | NPPES |
| Oregon | MEDICAID | 290783 |
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