Individual provider · Type 1 NPI

Oulu Marie Noonan, CADC-R

Rehabilitation Practitioner · Portland, OR

NPI number 1104492248 Active

Practice location

1631 SW Columbia St
Portland, OR 97201-6025

Call (503) 231-2641 Map

Fax (503) 231-1654

Mailing address

1776 SW Madison St
Portland, OR 97205-1715

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000X26-QMHA-R-8389 (OR)
Addiction (Substance Use Disorder) Counselor 101YA0400X26-04-11855 (OR)
Rehabilitation Practitioner Primary 225400000X26-QMHA-R-8389 (OR)
Peer Specialist 175T00000X26-CRM-5316 (OR)

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1104492248

Oulu Marie Noonan, CADC-R's National Provider Identifier is 1104492248, issued on May 30, 2021. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Portland, OR. The record was last updated on Jun 1, 2026.