Individual
DR. NOAH LYONS ROOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4039 N MISSISSIPPI AVE, SUITE 309, PORTLAND, OR 97227-1476
(503) 757-7260
(503) 208-7177
Mailing address
4039 N MISSISSIPPI AVE, SUITE 309, PORTLAND, OR 97227-1476
(503) 757-7260
(503) 208-7177
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2013
OR
103TH0004X
Health Psychologist
2013
OR
Other
Enumeration date
05/30/2007
Last updated
10/02/2015
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