Individual
MR. NOAH JORDAN DOOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1455 NE COLORADO ST, PULLMAN, WA 99163
(800) 462-6847
Mailing address
1890 NE MERMAN DR APT A202, PULLMAN, WA 99163-5093
(206) 305-4951
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
321593
WA
390200000X
Student in an Organized Health Care Education/Training Program
321593
WA
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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