Healthcare Provider Details

I. General information

NPI: 1750168050
Provider Name (Legal Business Name): NOELLE GALARDI CSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2023
Last Update Date: 09/18/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4233 SE 182ND AVE # 212
GRESHAM OR
97030-5082
US

IV. Provider business mailing address

4233 SE 182ND AVE # 212
GRESHAM OR
97030-5082
US

V. Phone/Fax

Practice location:
  • Phone: 971-220-2496
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberA15575
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: