Active NPI
Lorraine Janet Tobeck, L.M.T.
- Specialist
- Portland, OR
National Provider Identifier
1275801417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4330
- Practice address
- 3515 NE 43Rd Ave
Portland, OR 97213-1013 - Phone
- (503) 239-4785
- Fax
- (503) 258-8648
- NPI assigned
- Dec 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4330 | OR | Primary |
Addresses
Primary practice location
3515 NE 43Rd Ave
Portland, OR 97213-1013
Mailing address
11632 SE Lincoln CT
Portland, OR 97216-3655
Phone (503) 239-4785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4330 | OR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1275801417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11632 SE LINCOLN CT",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972163655",
"telephone_number": "503-239-4785",
"fax_number": "503-258-8648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 NE 43RD AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972131013",
"telephone_number": "503-239-4785",
"fax_number": "503-258-8648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBECK",
"first_name": "LORRAINE",
"middle_name": "JANET",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-02",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "4330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.