Provider Demographics
NPI:1780574103
Name:NOCTILIER, SEM FEILAN (PSS)
Entity type:Individual
Prefix:
First Name:SEM
Middle Name:FEILAN
Last Name:NOCTILIER
Suffix:
Gender:X
Credentials:PSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12985 SW DOUGLAS ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-4547
Mailing Address - Country:US
Mailing Address - Phone:503-442-5080
Mailing Address - Fax:
Practice Address - Street 1:12985 SW DOUGLAS ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-4547
Practice Address - Country:US
Practice Address - Phone:503-442-5080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR106227175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist