Provider Demographics
NPI:1508163056
Name:HOBBS, ANTHONY STEVEN (MS CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:STEVEN
Last Name:HOBBS
Suffix:
Gender:M
Credentials:MS CCC-SLP
Other - Prefix:
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Mailing Address - Street 1:4560 SE INTERNATIONAL WAY
Mailing Address - Street 2:STE. 100
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97222
Mailing Address - Country:US
Mailing Address - Phone:971-206-5200
Mailing Address - Fax:971-206-5203
Practice Address - Street 1:4001 LONE TREE WAY
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509
Practice Address - Country:US
Practice Address - Phone:925-754-0470
Practice Address - Fax:925-754-2775
Is Sole Proprietor?:No
Enumeration Date:2011-02-18
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHSP 9751235Z00000X
CA19365235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist