# NORTHSTAR ANESTHESIA OF OREGON LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487539771
- **Authorized official:** JOSHUA LUMBLEY MD (PRESIDENT)
- **Authorized official phone:** (617) 935-5799

## Contact information

- **Practice address:** 2525 12TH ST SE STE 110, SALEM, OR 97302-2281
- **Practice address phone:** (503) 364-5704
- **Mailing address:** 6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
- **Mailing address phone:** (214) 687-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 08/07/2025
- **Last updated:** 11/10/2025
