Active NPI
Melissa Noble, DO
- Adult Medicine Physician
- Portland, OR
National Provider Identifier
1629109335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- DO165463
- Practice address
- 9450 SW Barnes Rd Ste 100
Portland, OR 97225-6642 - Phone
- (503) 292-9560
- Fax
- (503) 292-9510
- NPI assigned
- Mar 7, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 20A6318 | CA | |
| Adult Medicine Physician | 207QA0505X | DO165463 | OR | Primary |
Addresses
Primary practice location
9450 SW Barnes Rd Ste 100
Portland, OR 97225-6642
Mailing address
2620 East Barnett Rd
Suite H
Medford, OR 97504-8383
Phone (541) 789-4281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Healthcare Resources, LLC | Current | Accepting new patients |
Locations
9450 SW Barnes Rd
Ste 100
Portland, OR 97225
Phone (503) 292-9560
2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694
Interoperability endpoints
- melissa.noble@jhie.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Eugene, OR
- NPI 1982907572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1629109335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 EAST BARNETT RD",
"address_2": "SUITE H",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048383",
"telephone_number": "541-789-4281",
"fax_number": "541-789-5538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9450 SW BARNES RD STE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256642",
"telephone_number": "503-292-9560",
"fax_number": "503-292-9510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLE",
"first_name": "MELISSA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "CA",
"license": "20A6318",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "OR",
"license": "DO165463",
"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 Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.