Healthcare Provider Details

I. General information

NPI: 1902716137
Provider Name (Legal Business Name): NOE M HUSSEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4950 NE BELKNAP CT STE 205
HILLSBORO OR
97124-5115
US

IV. Provider business mailing address

4950 NE BELKNAP CT STE 205
HILLSBORO OR
97124-5115
US

V. Phone/Fax

Practice location:
  • Phone: 503-560-5822
  • Fax:
Mailing address:
  • Phone: 503-560-5822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number1326482563
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: