Provider Demographics
NPI:1407940364
Name:HOBBS, ECHO L (LAC)
Entity Type:Individual
Prefix:
First Name:ECHO
Middle Name:L
Last Name:HOBBS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1745 COMMERCIAL ST SE
Mailing Address - Street 2:STE A
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-5174
Mailing Address - Country:US
Mailing Address - Phone:503-581-5990
Mailing Address - Fax:
Practice Address - Street 1:1745 COMMERCIAL ST SE
Practice Address - Street 2:STE A
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-5174
Practice Address - Country:US
Practice Address - Phone:503-581-5990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC00607171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist