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Individual

DR. SUSAN CARLA DAHLBERG NOBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
437 NW WA NA PA ST, CASCADE LOCKS, OR 97014-7014
(503) 740-9812
(503) 740-9812
Mailing address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-8407

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A44114
CA
207L00000X
Anesthesiology Physician
Primary
MD15783
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
269865
OR
05
8468910
WA
05
HSP40248F
CA
Enumeration date
07/08/2006
Last updated
09/19/2018
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