Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0401X | Family Doctor - Addiction Medicine | OR MD08504 | OR |
N | 207QA0401X | Family Doctor - Addiction Medicine | WA MD00013804 | WA |
NPI | 1326051962 |
---|---|
Provider Name | Dr. Ray Allan Noel |
First Address | Kalama, WA 98625-9626 |
Second Address | Longview, WA 98632-3166 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 08/07/2007 |