Individual
DR. J NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3615 NW SAMARITAN DR STE 210, CORVALLIS, OR 97330-3771
(541) 768-4501
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD25797
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027887
—
OR
Enumeration date
07/10/2006
Last updated
01/26/2021
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