1235280009 NPI number — DR. NOREEN MARGARET RIORDAN PH.D.

Table of content: DR. NOREEN MARGARET RIORDAN PH.D. (NPI 1235280009)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235280009 NPI number — DR. NOREEN MARGARET RIORDAN PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RIORDAN
Provider First Name:
NOREEN
Provider Middle Name:
MARGARET
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RIORDAN-SANDOVAL
Provider Other First Name:
NOREEN
Provider Other Middle Name:
MARGARET
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1235280009
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/28/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
601 MAIN ST
Provider Second Line Business Mailing Address:
STE 505
Provider Business Mailing Address City Name:
VANCOUVER
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98660-3414
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-750-0632
Provider Business Mailing Address Fax Number:
503-248-2170

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
601 MAIN ST
Provider Second Line Business Practice Location Address:
STE 505
Provider Business Practice Location Address City Name:
VANCOUVER
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98660-3414
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-750-0632
Provider Business Practice Location Address Fax Number:
503-248-2170
Provider Enumeration Date:
01/16/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  PY00001968 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 103TC0700X , with the licence number: 1357 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com