Individual
MS. STEPHANIE LORRAINE BOBBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA, RDA
Contact information
Practice address
3530 SE 88TH AVE, PORTLAND, OR 97266-2396
(503) 772-4335
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-2395
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12233
OR
Other
Enumeration date
09/30/2009
Last updated
08/25/2025
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