Provider Demographics
NPI:1447061320
Name:HOFFMEISTER, SKY LEONA (MA, PC ASSOCIATE)
Entity type:Individual
Prefix:
First Name:SKY
Middle Name:LEONA
Last Name:HOFFMEISTER
Suffix:
Gender:F
Credentials:MA, PC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13194 SW YARROW WAY
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97223-2660
Mailing Address - Country:US
Mailing Address - Phone:503-522-9172
Mailing Address - Fax:
Practice Address - Street 1:9370 SW GREENBURG RD STE 321
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-5421
Practice Address - Country:US
Practice Address - Phone:503-512-9191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-18
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR10644101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional