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1104492248
JENNIFER MARIE NOONAN
PORTLAND, OR
NPI
1104492248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-22-1648)
Enumeration Date
2021-05-30
Last Update Date
2022-08-01
Business Address
JENNIFER MARIE NOONAN CADC-R
1631 SW COLUMBIA ST
PORTLAND, OR 97201-6025
Phone number: 503-231-2641
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Mailing Address
JENNIFER MARIE NOONAN CADC-R
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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