Jeffrey Bryant Noethe, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1790 Issued in OR

Practice address

5257 NE Martin Luther King Jr Blvd Ste 305
Portland, OR 97211-3283

Phone

(503) 730-1594

NPI assigned

Dec 8, 2006

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2016 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1811057136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5257 NE MARTIN LUTHER KING JR BLVD STE 305",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113283",
            "telephone_number": "503-730-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5257 NE MARTIN LUTHER KING JR BLVD STE 305",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113283",
            "telephone_number": "503-730-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOETHE",
        "first_name": "JEFFREY",
        "middle_name": "BRYANT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon Lee Noel, M.D.
• Michelle Burke Noelck, MD
• North James Noelck, M.D.
• Noelle Braddock, Licensed Professional Clinical Counselor, a Professional Corporation
• Abigail Noesi, LCSW
• Virginia Noggle
• Mitchell Nohner, MD
• Nicole Nohner, MOTR/L
• Alison Ann Noice, MA
• Nadia Noid, O.T.R

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.