Provider Demographics
NPI:1073917639
Name:HOBSON, RUTH (ND)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:HOBSON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5136 NE GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97211-3214
Mailing Address - Country:US
Mailing Address - Phone:503-329-4956
Mailing Address - Fax:
Practice Address - Street 1:5136 NE GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97211-3214
Practice Address - Country:US
Practice Address - Phone:503-329-4956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-10
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2058175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR17200000XMedicaid