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
Phone: (503) 621-1069
Fax: (503) 621-0200
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1760903959 | NPPES |
Oregon | MEDICAID | 500758994 | |
Oregon | MEDICAID | 500727800 |
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