Dr. Michael J Noonan
Allergist & Immunologist
9495 Sw Locust St Ste A
Portland
, Oregon 97223-6683
Dr. Michael J Noonan
Allergist & Immunologist
9495 Sw Locust St Ste A
Portland
, Oregon 97223-6683
(503) 636-3952
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Dr. Michael J Noonan
- 9495 Sw Locust St Ste A
- Portland, OR
- Zip : 97223-6683
- Fax : (503) 636-3952
- Phone : (503) 636-9011
Second Address
- Dr. Michael J Noonan
- 9495 Sw Locust St Ste A
- Portland, OR
- Zip : 97223-6683
- Fax : (503) 636-3952
- Phone : (503) 636-9011
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | MD06672 | OR |
National Provider Identifier
| NPI | 1124166244 |
|---|---|
| Provider Name | Dr. Michael J Noonan |
| First Address | Portland, OR 97223-6683 |
| Second Address | Portland, OR 97223-6683 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/02/2007 |
| Last Update Date | 19/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A08101 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.