NPI 1104064690
Noah Carolan, MED
Practice location
- Address
- 1500 NW Bethany Blvd Suite 320, Beaverton, OR 97006
- Phone
- (541) 968-6624
- Mailing address
- 2007 SE Salmon St APT a, Portland, OR 97214-3887
Registered specialties
Marriage & Family Therapist
Primary
Registry record
- NPI
- 1104064690
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Jan 2009
- Record last updated
- 15 Oct 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.