Organization
DONALD R NOEL, PA
Active
Other names
SAMUEL WEIRICH MD
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE L SPENCER (BUSINESS OFFICE MANAGER)
(503) 253-3268
Entity
Organization
Contact information
Practice address
10101 SE MAIN ST STE 3008, PORTLAND, OR 97216-2458
(503) 253-3268
(503) 253-1530
Mailing address
10101 SE MAIN ST STE 3008, PORTLAND, OR 97216-2458
(503) 253-3268
(503) 253-1530
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00235
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4884260001
MEDICARE DMERC
OR
Enumeration date
07/23/2007
Last updated
07/23/2007
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