Individual
DR. THOMAS JAY KOBITTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8568 SW APPLE WAY, PORTLAND, OR 97225-1772
(503) 292-6773
Mailing address
140 SW COLUMBIA ST APT 1402, PORTLAND, OR 97201-5887
(224) 456-9831
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12205
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/07/2024
Last updated
08/11/2025
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