Michael Raymond Marble, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD09926 Issued in OR

Practice address

5226 Dawn Ave
Lake Oswego, OR 97035-8112

Phone

(503) 620-2933

Fax

(503) 620-8652

NPI assigned

Feb 13, 2007

Last updated

Oct 1, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1356483374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5226 DAWN AVE",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358112",
            "telephone_number": "503-620-2933",
            "fax_number": "503-620-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5226 DAWN AVE",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358112",
            "telephone_number": "503-620-2933",
            "fax_number": "503-620-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARBLE",
        "first_name": "MICHAEL",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD09926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manami Yamaguchi DMD LLC
• Aubrey Mann, MS SLP-CCC
• Philip C Mann, DDS, MD
• Tyler Manson, DPM
• Christopher Michael Manuel, DNP
• Jennifer March, MD, MS
• Sabrina J. Marcus, DC
• Margaret a Hewitt MD PC
• Marion J Darling MDPC
• Mark a. Petroff, MD PC (Petroff Center)

• Orthopaedic Surgery Physician in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Orthopaedic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.