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Individual

DAVID L NOALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
501 N GRAHAM ST, SUITE 200, PORTLAND, OR 97227-1654
(503) 413-4488
(503) 413-1812
Mailing address
501 N GRAHAM ST, SUITE 200, PORTLAND, OR 97227-1654
(503) 413-4488
(503) 413-1812

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD08774
OR
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
MD08774
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
230888
OR
Enumeration date
03/17/2006
Last updated
02/25/2011
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