# OULU MARIE NOONAN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1104492248
- **Gender:** F
- **Credential:** CADC-R

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 26-04-11855 | OR | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | T-22-1648 | OR | Yes |
| 174400000X | Specialist | 26-QMHA-R-8389 | OR | — |
| 175T00000X | Peer Specialist | 26-CRM-5316 | OR | — |
| 225400000X | Rehabilitation Practitioner | 26-QMHA-R-8389 | OR | Yes |

## Other

- **Enumeration date:** 05/30/2021
- **Last updated:** 06/01/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 500808233 | — | OR |