Active NPI
Troy Christopher Stoeber, MD
- Pediatrics Physician
- Clackamas, OR
National Provider Identifier
1508802232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD24154
- Practice address
- 9290 SE Sunnybrook Blvd
Ste 200
Clackamas, OR 97015-6777 - Phone
- (503) 659-1694
- Fax
- (503) 659-8984
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD24154 | OR | Primary |
Addresses
Primary practice location
9290 SE Sunnybrook Blvd
Ste 200
Clackamas, OR 97015-6777
Mailing address
9290 SE Sunnybrook Blvd
Ste 200
Clackamas, OR 97015-6777
Phone (503) 659-1694
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD24154 | OR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1508802232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9290 SE SUNNYBROOK BLVD",
"address_2": "STE 200",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970156777",
"telephone_number": "503-659-1694",
"fax_number": "503-659-8984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9290 SE SUNNYBROOK BLVD",
"address_2": "STE 200",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970156777",
"telephone_number": "503-659-1694",
"fax_number": "503-659-8984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOEBER",
"first_name": "TROY",
"middle_name": "CHRISTOPHER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "MD24154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.