Dr. Michael J Noonan, MD
Allergy & Immunology in Portland, OR. Individual provider (NPI-1).
NPI number1124166244
StatusActive
Last updated in NPPESMar 19, 2021
Details
- NPI
- 1124166244
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael J Noonan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 1, 2007
- Certification date
- Mar 19, 2021
- Last updated
- Mar 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207K00000X | Allergy & Immunology | MD06672 | OR | Yes |
Practice location
9495 Sw Locust St Ste APortland, OR 97223-6683
Phone 503-636-9011 · Fax 503-636-3952
Mailing address
9495 Sw Locust St Ste APortland, OR 97223-6683
Phone 503-636-9011 · Fax 503-636-3952
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