Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | ||
N | 225X00000X | Occupational Therapist | 428619 | OR |
N | 225XM0800X | Mental Health | 428619 | OR |
NPI | 1588326631 |
---|---|
Provider Name | Dr. Jordan Elizabeth Andrews Noah |
First Address | Hillsboro, OR 97124-2032 |
Second Address | Mcminnville, OR 97128-3933 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2021 |
Last Update Date | 18/10/2021 |