Active NPI
Oulu Marie Noonan, CADC-R
- Rehabilitation Practitioner
- Portland, OR
National Provider Identifier
1104492248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 26-QMHA-R-8389
- Practice address
- 1631 SW Columbia St
Portland, OR 97201-6025 - Phone
- (503) 231-2641
- Fax
- (503) 231-1654
- NPI assigned
- May 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 26-QMHA-R-8389 | OR | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 26-04-11855 | OR | |
| Rehabilitation Practitioner | 225400000X | 26-QMHA-R-8389 | OR | Primary |
| Peer Specialist | 175T00000X | 26-CRM-5316 | OR |
Addresses
Primary practice location
1631 SW Columbia St
Portland, OR 97201-6025
Mailing address
1776 SW Madison St
Portland, OR 97205-1715
Phone (503) 224-1044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500808233 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26-CRM-5316 | OR | MD | Peer Specialist |
| 26-QMHA-R-8389 | OR | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1104492248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 SW MADISON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972051715",
"telephone_number": "503-224-1044",
"fax_number": "503-621-2235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 SW COLUMBIA ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972016025",
"telephone_number": "503-231-2641",
"fax_number": "503-231-1654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOONAN",
"first_name": "OULU",
"middle_name": "MARIE",
"credential": "CADC-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-30",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "26-QMHA-R-8389",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "26-04-11855",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "OR",
"license": "26-QMHA-R-8389",
"primary": true
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": "26-CRM-5316",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500808233",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.