Larisa Noonan, LMT

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

9384 Issued in OR

Practice address

3804 SE Belmont St
Portland, OR 97214-4330

Phone

(503) 975-3300

NPI assigned

Feb 20, 2015

Last updated

Feb 20, 2015By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1568854016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 W VISTA AVE S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025573",
            "telephone_number": "503-975-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144330",
            "telephone_number": "503-975-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOONAN",
        "first_name": "LARISA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "OR",
            "license": "9384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael David Nomina, MSW,LCSW
• Stephanie A. Nonas, M.D.
• Gretchen Marie Nonawzki, DO
• Stephanie Elizabeth Nonawzki, DO
• Jocelyn Noonan, M.S. CCC-SLP
• Michael J Noonan, MD
• Oulu Marie Noonan, CADC-R
• Patricia Noonan
• Raquel Turnbow Noonan, MPAS, PA-C
• Melissa Noonchester

• Mechanotherapist in Portland, OR
• Providers in Portland, OR by specialty
• Mechanotherapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.