Individual
NOAH MASSANARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2318 NE MLK JR BLVD, PORTLAND, OR 97212-3715
(503) 335-8611
Mailing address
2318 NE MLK JR BLVD, PORTLAND, OR 97212-3715
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-24-4389
OR
172V00000X
Community Health Worker
114306
OR
Other
Enumeration date
09/12/2024
Last updated
07/03/2025
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