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NPI Code Detail

MEDICARE: DR. CHRISTOPHER JAMES HOBART M.D.

MEDICARE: DR. CHRISTOPHER JAMES HOBART M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084B0040XBehavioral Neurology & Neuropsychiatry PhysicianMD177130OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134245566
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER JAMES HOBART M.D.
Provider Business Mailing Address
First Line : 232 NW 6TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97209-3609
Country : US
Telephone Number : 503-294-1681
Fax Number : 503-294-4321
Provider Business Practice Location Address
First Line : 33 NW BROADWAY
Second Line :
City : PORTLAND
State : OR
Zip : 97209-3580
Country : US
Telephone Number : 503-228-7134
Fax Number : 503-501-5679
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 04/28/2017

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