NPIMap

Organization Active NPI

Susan C Noble, MD, LLC

  • Anesthesiology Physician
  • Cascade Locks, OR
National Provider Identifier
1174920722
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SUSAN C NOBLE, MD, LLC
Practice address
437 Wa NA PA St.
Cascade Locks, OR 97014
Phone
(503) 740-9812
NPI assigned
Nov 25, 2014
Last updated
Nov 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Susan Carla Dahlberg Noble, M.D.NPI 1720011521
Title
Owner
Phone
(503) 740-9812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

437 Wa NA PA St.
Cascade Locks, OR 97014

Mailing address

PO Box #3
Bridal Veil, OR 97010
Phone (503) 740-9812

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1174920722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX #3",
            "city": "BRIDAL VEIL",
            "state": "OR",
            "postal_code": "97010",
            "telephone_number": "503-740-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 WA NA PA ST.",
            "city": "CASCADE LOCKS",
            "state": "OR",
            "postal_code": "97014",
            "telephone_number": "503-740-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN C NOBLE, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "CARLA DAHLBERG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-740-9812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cascade Locks, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.