Michael J Noonan, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

MD06672 Issued in OR

Practice address

9495 SW Locust St Ste a
Portland, OR 97223-6683

Phone

(503) 636-9011

Fax

(503) 636-3952

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amg of Washington PC

  • Multi-Specialty Clinic/Center
  • Portland, OR
  • NPI 1528653268
  NPD (past) Authorized official
• PDX Allergy LLC

  • Allergy & Immunology Physician
  • Clackamas, OR
  • NPI 1447874367
  NPD
• Allergy & Asthma Center of SW Washington LLC

  • Allergy & Immunology Physician
  • Vancouver, WA
  • NPI 1912048745
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1124166244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9495 SW LOCUST ST STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972236683",
            "telephone_number": "503-636-9011",
            "fax_number": "503-636-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9495 SW LOCUST ST STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972236683",
            "telephone_number": "503-636-9011",
            "fax_number": "503-636-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOONAN",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OR",
            "license": "MD06672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael David Nomina, MSW,LCSW
• Stephanie A. Nonas, M.D.
• Stephanie Elizabeth Nonawzki, DO
• Jocelyn Noonan, M.S. CCC-SLP
• Larisa Noonan, LMT
• Oulu Marie Noonan, CADC-R
• Patricia Noonan
• Raquel Turnbow Noonan, MPAS, PA-C
• Melissa Noonchester
• Noor a Khaki DMD PC

• Allergy & Immunology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Allergy & Immunology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.