Bolton, Noreen Faith

Bolton, Noreen Faith is an individual health care provider with primary practice located at 17645 Nw Saint Helens Rd , Portland OR 97231-1729. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Bolton, Noreen Faith can be contacted via phone (503) 621-1069.

Contact Information

Primary practice address
17645 Nw Saint Helens Rd Portland OR 97231-1729
Fax: (503) 621-0200
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X THW000001262 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 21-01-20005 Oregon

Profile Details

NPI number 1760903959
LBN Legal business name Bolton, Noreen Faith
Credentials CADC II/PSS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2017
Last updated Aug 22nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760903959 NPPES
Oregon MEDICAID 500758994
Oregon MEDICAID 500727800

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