Healthcare Provider Details

I. General information

NPI: 1467829408
Provider Name (Legal Business Name): HOBSON ORTHODONTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2015
Last Update Date: 08/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 12TH ST SUITE D
HOOD RIVER OR
97031-9540
US

IV. Provider business mailing address

1700 12TH ST SUITE D
HOOD RIVER OR
97031-9540
US

V. Phone/Fax

Practice location:
  • Phone: 971-404-4699
  • Fax:
Mailing address:
  • Phone: 971-404-4699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: KARA A HOBSON
Title or Position: OWNER
Credential: DDS
Phone: 971-404-4699