| Noreen Riordan, Ph.d., Llc | |
|
1020 Sw Taylor St 715 Portland OR 97205-2543 | |
| (503) 274-0040 | |
| Not Available |
| Full Name | Noreen Riordan, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1020 Sw Taylor St, Portland, Oregon |
| Authorized Official Name and Position | Noreen Margaret Riordan (PSYCHOLOGIST) |
| Authorized Official Contact | 5032740040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Noreen Riordan, Ph.d., Llc 1020 Sw Taylor St 715 Portland OR 97205-2543 Ph: (503) 274-0040 | Noreen Riordan, Ph.d., Llc 1020 Sw Taylor St 715 Portland OR 97205-2543 Ph: (503) 274-0040 |
| NPI Number | 1578911798 |
|---|---|
| Provider Enumeration Date | 05/27/2016 |
| Last Update Date | 05/27/2016 |
| Medicare PECOS PAC ID | 0345528527 |
|---|---|
| Medicare Enrollment ID | O20161021001206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578911798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Noreen M Riordan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235280009 PECOS PAC ID: 3971519703 Enrollment ID: I20060302000315 |
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