Individual
ERIC A. VANNOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHA
Contact information
Practice address
7621 N PORTSMOUTH AVE, PORTLAND, OR 97203-5953
(503) 240-7599
(503) 240-8066
Mailing address
5428 SE WASHINGTON ST, PORTLAND, OR 97215-1873
(503) 705-3892
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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