Individual
SABINA NOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2031 SE BELMONT ST, PORTLAND, OR 97214-2812
(503) 894-6163
Mailing address
2031 SE BELMONT ST, PORTLAND, OR 97214-2812
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
BAP-E-10245299
OR
Other
Enumeration date
07/04/2024
Last updated
07/04/2024
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