Provider Demographics
NPI:1952638215
Name:HARLOW COMBE, BOBBIE J (BC - HIS)
Entity Type:Individual
Prefix:
First Name:BOBBIE
Middle Name:J
Last Name:HARLOW COMBE
Suffix:
Gender:F
Credentials:BC - HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11390 SE 82ND AVE
Mailing Address - Street 2:SUITE 801
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97086-7637
Mailing Address - Country:US
Mailing Address - Phone:503-653-5004
Mailing Address - Fax:503-794-0531
Practice Address - Street 1:11390 SE 82ND AVE
Practice Address - Street 2:SUITE 801
Practice Address - City:HAPPY VALLEY
Practice Address - State:OR
Practice Address - Zip Code:97086-7637
Practice Address - Country:US
Practice Address - Phone:503-653-5004
Practice Address - Fax:503-794-0531
Is Sole Proprietor?:No
Enumeration Date:2009-11-06
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORHAS-P-10131224237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist